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General NPI Number Information
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NPI Number | 1023165628
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Entity Type | Individual
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Provider Name | JAMES M MASUDA DDS
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 704 BLOSSOM HILL RD SUITE 106
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City | SAN JOSE
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State | CA
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Zip | 95123-5403
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Country | US
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Telephone | 408-225-2425
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Fax | 408-225-2717
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Provider Business Mailing Address
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Address Line | 704 BLOSSOM HILL RD SUITE 106
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City | SAN JOSE
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State | CA
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Zip | 95123-5403
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Country | US
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Telephone | 408-225-2425
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Fax | 408-225-2717
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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 | 19648
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License Number State | CA
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