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General NPI Number Information
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NPI Number | 1730675109
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Entity Type | Organization
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Legal Business Name | HEALING PROPERTY LLC
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 2211 MOORPARK AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95128-2655
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Country | US
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Telephone | 408-298-5959
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Fax | 408-927-5085
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Provider Business Mailing Address
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Address Line | 2211 MOORPARK AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95128-2655
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Country | US
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Telephone | 408-298-5959
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Fax | 408-927-5085
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUCIA TANZIL
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Credential | DDS
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Telephone | 408-298-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 40740
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License Number State | CA
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