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General NPI Number Information
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NPI Number | 1831553643
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Entity Type | Organization
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Legal Business Name | BRIAN R FORCEY DDS APS
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 14711 PRINCETON AVE STE 12
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City | MOORPARK
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State | CA
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Zip | 93021-1469
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Country | US
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Telephone | 805-529-4821
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Fax | 805-529-4821
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Provider Business Mailing Address
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Address Line | 14711 PRINCETON AVE STE 12
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City | MOORPARK
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State | CA
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Zip | 93021-1469
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Country | US
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Telephone | 805-529-4821
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Fax | 805-529-4821
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Authorized Official
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Title or Position | DOCTER
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Name | DR. BRIAN ROBERT FORCEY
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Credential | DDS
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Telephone | 805-529-4821
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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 | 28856
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License Number State | CA
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