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General NPI Number Information
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NPI Number | 1851558381
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Entity Type | Individual
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Provider Name | SARAH JUNE SIBBACH DMD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 13788 ROSWELL AVE #100
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City | CHINO
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State | CA
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Zip | 91710-1409
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Country | US
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Telephone | 610-390-4058
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Fax |
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Provider Business Mailing Address
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Address Line | 13788 ROSWELL AVE #100
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City | CHINO
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State | CA
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Zip | 91710-1409
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Country | US
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Telephone | 610-390-4058
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS036356
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56948
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License Number State | CA
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