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General NPI Number Information
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NPI Number | 1336722156
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Entity Type | Organization
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Legal Business Name | ROBERT TAKANO DDS
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 13340 BARBADOS WAY
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City | DEL MAR
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State | CA
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Zip | 92014-3502
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Country | US
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Telephone | 858-209-5909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1333
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City | SOLANA BEACH
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State | CA
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Zip | 92075-7333
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Country | US
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Telephone | 858-209-5909
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL OWNER
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Name | ROBERT TAKANO
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Credential |
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Telephone | 858-209-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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