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General NPI Number Information
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NPI Number | 1871802652
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Entity Type | Organization
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Legal Business Name | STEVEN H. FERRIOT, DDS A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 145 WILLOW ST SUITE 100
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City | BONITA
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State | CA
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Zip | 91902-1349
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Country | US
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Telephone | 619-472-5456
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Fax | 619-472-1580
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Provider Business Mailing Address
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Address Line | 145 WILLOW ST SUITE 100
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City | BONITA
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State | CA
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Zip | 91902-1349
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Country | US
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Telephone | 619-472-5456
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Fax | 619-472-1580
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN H FERRIOT
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Credential | DDS
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Telephone | 619-472-5456
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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 | 23179
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License Number State | CA
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