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General NPI Number Information
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NPI Number | 1821156191
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Entity Type | Individual
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Provider Name | ROSANNA BAIRAN MARSHALL D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1468 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92027-2314
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Country | US
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Telephone | 760-480-0104
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Fax | 760-480-4708
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Provider Business Mailing Address
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Address Line | 9582 PIPILO ST
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City | SAN DIEGO
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State | CA
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Zip | 92129-3565
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 47944
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License Number State | CA
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