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General NPI Number Information
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NPI Number | 1346528510
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Entity Type | Organization
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Legal Business Name | UC REGENTS
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Dates
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Enumeration Date | 07/22/2011
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | UCSB STUDENT HEALTH DENTAL CARE 588 BUILDING
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City | SANTA BARBARA
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State | CA
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Zip | 93106-7002
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Country | US
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Telephone | 805-893-2891
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Fax | 805-893-6009
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Provider Business Mailing Address
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Address Line | UCSB STUDENT HEALTH DENTAL CARE 588 BUILDING
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City | SANTA BARBARA
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State | CA
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Zip | 93106-7002
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Country | US
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Telephone | 805-893-2891
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Fax | 805-893-6009
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Authorized Official
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Title or Position | DENTAL CARE CLINIC MANAGER
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Name | MS. KAARIN KNIGHTEN EL
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Credential | RDA
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Telephone | 805-893-4397
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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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