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General NPI Number Information
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NPI Number | 1023399839
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Entity Type | Organization
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Legal Business Name | DRAPER AND DRAPER NAPA
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 2291 SOSCOL AVE
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City | NAPA
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State | CA
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Zip | 94558-3620
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Country | US
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Telephone | 707-252-8077
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Fax | 707-252-2132
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Provider Business Mailing Address
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Address Line | 2291 SOSCOL AVE
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City | NAPA
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State | CA
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Zip | 94558-3620
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Country | US
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Telephone | 707-252-8077
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Fax | 707-252-2132
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS NADIA KHAMO
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Credential |
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Telephone | 707-252-8077
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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 | 29259
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License Number State | CA
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