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General NPI Number Information
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NPI Number | 1033345111
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Entity Type | Organization
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Legal Business Name | DOUGLAS A. DAWS, D.D.S.,INC
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 1023 N BRAND BLVD
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City | GLENDALE
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State | CA
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Zip | 91202-2906
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Country | US
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Telephone | 818-242-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 3390 LOMA VISTA RD SUITE B
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City | VENTURA
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State | CA
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Zip | 93003-3078
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Country | US
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Telephone | 818-242-8955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS A. DAWS
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Credential | DDS
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Telephone | 818-242-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 32289
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License Number State | CA
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