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General NPI Number Information
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NPI Number | 1104877380
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Entity Type | Individual
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Provider Name | ADAM JOSEPH JANETTE DDS
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 77 CASA ST SUITE 101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-5803
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Country | US
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Telephone | 805-541-5611
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Fax | 805-541-2328
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Provider Business Mailing Address
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Address Line | 77 CASA ST SUITE 101
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-5803
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Country | US
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Telephone | 805-541-5611
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Fax | 805-541-2328
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 44324
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License Number State | CA
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