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General NPI Number Information
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NPI Number | 1306904289
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Entity Type | Individual
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Provider Name | JOHN THOMAS OIAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 16835 ALKALI DR SUITE M
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City | LEMOORE
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State | CA
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Zip | 93245-9463
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Country | US
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Telephone | 559-924-0460
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Fax | 559-924-2197
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Provider Business Mailing Address
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Address Line | 2740 HERNDON AVE
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City | CLOVIS
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State | CA
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Zip | 93611-6813
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Country | US
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Telephone | 559-299-4264
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Fax | 559-299-1421
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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 | CA24245
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License Number State | CA
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