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General NPI Number Information
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NPI Number | 1285764100
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Entity Type | Individual
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Provider Name | DENNIS NAPPEN D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 1340 IMPERIAL BEACH BLVD #101
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City | IMPERIAL BEACH
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State | CA
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Zip | 91932-3046
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Country | US
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Telephone | 619-575-6644
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Fax | 619-424-9457
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Provider Business Mailing Address
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Address Line | 1340 IMPERIAL BEACH BLVD #101
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City | IMPERIAL BEACH
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State | CA
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Zip | 91932-3046
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Country | US
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Telephone | 619-575-6644
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Fax | 619-424-9457
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 24687
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License Number State | CA
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