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General NPI Number Information
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NPI Number | 1114644564
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Entity Type | Individual
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Provider Name | PAMELA HIROMI SAISHO LUYA DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 801 NEWTON RD
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City | IOWA CITY
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State | IA
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Zip | 52242-1001
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Country | US
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Telephone | 319-335-7440
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Fax | 319-335-7451
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Provider Business Mailing Address
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Address Line | 322 DENTAL SCIENCE BLDG S
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City | IOWA CITY
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State | IA
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Zip | 52242-1001
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Country | US
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Telephone | 319-335-7440
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Fax | 319-335-7451
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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 | FAC-40213
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License Number State | IA
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