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General NPI Number Information
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NPI Number | 1194146563
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Entity Type | Organization
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Legal Business Name | DAVID M. SATNICK, DMD
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 6633 TELEPHONE RD SUITE 220
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City | VENTURA
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State | CA
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Zip | 93003-5569
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Country | US
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Telephone | 805-639-3050
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Fax |
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Provider Business Mailing Address
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Address Line | 6633 TELEPHONE RD SUITE 220
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City | VENTURA
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State | CA
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Zip | 93003-5569
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Country | US
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Telephone | 805-639-3050
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DAVID MARK SATNICK
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Credential | D.M.D.
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Telephone | 805-639-3050
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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 | 33658
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License Number State | CA
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