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General NPI Number Information
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NPI Number | 1811785389
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Entity Type | Individual
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Provider Name | ANNA NOELLE PANFIL DMD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 151 BODIN CIR
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City | TRAVIS AFB
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State | CA
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Zip | 94535-1801
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Country | US
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Telephone | 707-423-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 40533 DOROTHY DR
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City | HOMER
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State | AK
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Zip | 99603-9373
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Country | US
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Telephone | 602-813-3183
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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