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General NPI Number Information
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NPI Number | 1861637498
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Entity Type | Individual
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Provider Name | ANITA CLAIRE FORD DDS
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Gender | Female
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 1455 OLIVER RD SUITE 120
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City | FAIRFIELD
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State | CA
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Zip | 94534-3482
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Country | US
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Telephone | 707-429-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 5810 HOWE ST #11
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City | PITTSBURGH
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State | PA
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Zip | 15232-2712
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Country | US
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Telephone | 707-580-4660
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 56549
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License Number State | CA
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