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General NPI Number Information
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NPI Number | 1356552830
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Entity Type | Individual
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Provider Name | JOEL MCFAUL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2300 SUTTER ST STE 204
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3029
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Country | US
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Telephone | 415-921-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 HAIGHT ST APT 407
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3078
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Country | US
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Telephone | 760-458-9605
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Fax |
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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 | 50318
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License Number State | CA
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