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General NPI Number Information
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NPI Number | 1194967463
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Entity Type | Organization
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Legal Business Name | ROBERT Y. GO, DDS, INC.
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 2060 S EUCLID ST SUITE G
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City | ANAHEIM
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State | CA
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Zip | 92802-3131
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Country | US
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Telephone | 714-638-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 2060 S. EUCLID STREET SUITE G
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City | ANAHEIM
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State | CA
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Zip | 92802
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Country | US
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Telephone | 714-638-0018
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. ESTELA LACTAO GO
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Credential |
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Telephone | 714-638-0018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 56191
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License Number State | CA
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