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General NPI Number Information
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NPI Number | 1194984104
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Entity Type | Individual
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Provider Name | MAKI NARITA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 01/10/2015
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Provider Practice Location Address
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Address Line | 3465 TORRANCE BLVD SUITE G
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City | TORRANCE
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State | CA
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Zip | 90503-5804
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Country | US
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Telephone | 319-543-7788
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Fax | 310-543-7780
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Provider Business Mailing Address
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Address Line | PO BOX 3129
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City | TORRANCE
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State | CA
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Zip | 90510-3129
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Country | US
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Telephone | 310-792-3914
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 47136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8355
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5836
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License Number State | AZ
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