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General NPI Number Information
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NPI Number | 1306791223
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Entity Type | Organization
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Legal Business Name | SCOTT KALOUST, DDS, INC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 3210 ROYAL DR
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City | CAMERON PARK
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State | CA
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Zip | 95682-8506
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Country | US
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Telephone | 530-677-1769
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 UNIVERSITY DR STE 2
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City | MENLO PARK
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State | CA
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Zip | 94025-4254
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Country | US
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Telephone | 650-274-7455
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. SCOTT KALOUST
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Credential | DDS
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Telephone | 650-274-7455
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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 |
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License Number State |
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