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General NPI Number Information
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NPI Number | 1013430248
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Entity Type | Individual
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Provider Name | RAION SABO DDS
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Gender | Male
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 1333 GRAND AVE STE 1
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City | PIEDMONT
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State | CA
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Zip | 94610-1081
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Country | US
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Telephone | 510-652-1702
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Fax |
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Provider Business Mailing Address
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Address Line | 35 RED HILL CIR APT E
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City | TIBURON
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State | CA
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Zip | 94920-1772
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Country | US
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Telephone | 415-393-7119
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS104997
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License Number State | CA
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