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General NPI Number Information
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NPI Number | 1942442298
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Entity Type | Organization
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Legal Business Name | JANETH L. CHAUX D.D.S. INC.
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 1834 PACIFIC COAST HWY
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City | LOMITA
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State | CA
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Zip | 90717-2722
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Country | US
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Telephone | 310-326-5183
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Fax | 310-326-2849
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Provider Business Mailing Address
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Address Line | 1834 PACIFIC COAST HWY
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City | LOMITA
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State | CA
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Zip | 90717-2722
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Country | US
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Telephone | 310-326-5183
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Fax | 310-326-2849
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JANETH L CHAUX
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Credential | D.D.S
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Telephone | 310-326-5183
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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 | 50577
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License Number State | CA
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