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General NPI Number Information
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NPI Number | 1154950921
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Entity Type | Individual
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Provider Name | ANDRE KLAY CATALUNA DDS
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Gender | Male
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 08/24/2024
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Provider Practice Location Address
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Address Line | 152 S LASKY DR STE 204
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1716
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Country | US
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Telephone | 310-276-7028
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Fax |
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Provider Business Mailing Address
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Address Line | 22608 MARBELLA AVE
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City | CARSON
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State | CA
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Zip | 90745-3921
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Country | US
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Telephone | 310-505-8485
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Fax |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 106123
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License Number State | CA
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