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General NPI Number Information
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NPI Number | 1003895848
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Entity Type | Organization
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Legal Business Name | ADRIANA R. MASI, D.D.S., INC.
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1134 S ROBERTSON BLVD SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90035-1404
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Country | US
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Telephone | 310-550-5888
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Fax | 310-550-5883
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Provider Business Mailing Address
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Address Line | 1134 S ROBERTSON BLVD SUITE 2
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City | LOS ANGELES
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State | CA
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Zip | 90035-1404
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Country | US
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Telephone | 310-550-5888
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Fax | 310-550-5883
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Authorized Official
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Title or Position | CEO
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Name | DR. ADRIANA R MASI
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Credential | DDS
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Telephone | 310-550-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 48329
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License Number State | CA
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