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General NPI Number Information
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NPI Number | 1194890061
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Entity Type | Organization
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Legal Business Name | PAMELA G. CAGGIANO, D.D.S., LTD
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Dates
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Enumeration Date | 11/23/2006
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 321 N PECOS RD SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89074-1347
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Country | US
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Telephone | 702-732-7878
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Fax | 702-734-5143
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Provider Business Mailing Address
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Address Line | 321 N PECOS RD SUITE 100
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City | HENDERSON
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State | NV
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Zip | 89074-1347
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Country | US
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Telephone | 702-732-7878
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Fax | 702-734-5143
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA G. CAGGIANO
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Credential | D.D.S.
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Telephone | 702-732-7878
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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 | 3467
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License Number State | NV
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