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NPI 1871686600

NPI 1871686600 : JANET DO D.D.S. : ROSEMEAD, CA

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General NPI Number Information
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    NPI Number           |    1871686600
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    Entity Type          |    Individual 
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    Provider Name        |    JANET DO D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/02/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3106 SAN GABRIEL BLVD STE G 
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    City                 |    ROSEMEAD
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    State                |    CA
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    Zip                  |    91770-2579
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    Country              |    US
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    Telephone            |    626-572-3881
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    Fax                  |    626-572-4083
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Provider Business Mailing Address
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    Address Line         |    321 VAQUERO RD 
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    City                 |    ARCADIA
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    State                |    CA
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    Zip                  |    91007-6153
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    Country              |    US
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    Telephone            |    626-446-1774
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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       |    42044
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    License Number State |    CA
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