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General NPI Number Information
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NPI Number | 1720173198
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Entity Type | Organization
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Legal Business Name | LAWERNCE S TOOMIN & MARK R BIEBER
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 3808 RIVERSIDE DR #408 3808 RIVERSIDE DR #408
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City | TOLUCA LAKE
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State | CA
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Zip | 91505-5301
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Country | US
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Telephone | 818-842-3932
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Fax | 818-842-3932
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Provider Business Mailing Address
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Address Line | 3808 RIVERSIDE DR #408 3808 RIVERSIDE DR #408
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City | TOLUCA LAKE
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State | CA
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Zip | 91505-5301
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Country | US
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Telephone | 818-842-3932
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Fax | 818-842-0035
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Authorized Official
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Title or Position | OWNER
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Name | MARK RAYMOND BIEBER
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Credential | DDS
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Telephone | 818-842-3932
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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 | 40540
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31403
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License Number State | CA
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