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General NPI Number Information
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NPI Number | 1699826354
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Entity Type | Organization
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Legal Business Name | PORTIA D TURNER D D S
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 139 N PRAIRIE AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-1904
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Country | US
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Telephone | 310-412-2994
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Fax | 310-412-2076
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Provider Business Mailing Address
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Address Line | 139 N PRAIRIE AVE
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City | INGLEWOOD
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State | CA
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Zip | 90301-1904
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Country | US
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Telephone | 310-412-2994
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Fax | 310-412-2076
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PORTIA D TURNER
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Credential | DENTAL
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Telephone | 310-412-2994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 35036
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License Number State | CA
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