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General NPI Number Information
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NPI Number | 1699778258
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Entity Type | Individual
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Provider Name | JANICE RENE WORK DDS
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9045 BRUCEVILLE RD STE 180
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City | ELK GROVE
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State | CA
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Zip | 95758
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Country | US
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Telephone | 916-683-7336
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Fax | 916-683-7340
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Provider Business Mailing Address
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Address Line | PO BOX 582880
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City | ELK GROVE
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State | CA
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Zip | 95758-2880
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Country | US
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Telephone | 916-422-6671
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Fax | 916-422-2928
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 37045
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License Number State | CA
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