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General NPI Number Information
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NPI Number | 1154754968
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Entity Type | Organization
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Legal Business Name | STEVEN KAMINSKY DMD & NATASHA YASHAR DDS
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/15/2013
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Provider Practice Location Address
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Address Line | 2796 SYCAMORE DR STE 202
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1549
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Country | US
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Telephone | 805-584-6225
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Fax | 805-522-8350
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Provider Business Mailing Address
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Address Line | 2796 SYCAMORE DR STE 202
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1549
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Country | US
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Telephone | 805-584-6225
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Fax | 805-522-8350
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN KAMINSKY
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Credential |
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Telephone | 805-584-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 55608
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 32100
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License Number State | CA
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