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General NPI Number Information
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NPI Number | 1801295902
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Entity Type | Organization
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Legal Business Name | WEBER & BECKER DENTAL GROUP
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 2411 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4324
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Country | US
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Telephone | 805-682-0282
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Fax | 805-682-8364
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Provider Business Mailing Address
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Address Line | 2411 BATH ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4324
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Country | US
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Telephone | 805-682-0282
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Fax | 805-682-8364
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Authorized Official
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Title or Position | MANAGER
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Name | CYNTHIA JOANN EBEJER
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Credential |
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Telephone | 805-682-0282
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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 | 62714
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License Number State | CA
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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 | 51858
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License Number State | CA
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