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General NPI Number Information
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NPI Number | 1366675951
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Entity Type | Individual
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Provider Name | TROY SCOTT FOLLMAR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 14511 S BASCOM AVE
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City | LOS GATOS
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State | CA
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Zip | 95032-2003
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Country | US
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Telephone | 408-356-3146
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Fax | 408-356-0267
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Provider Business Mailing Address
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Address Line | 14511 S BASCOM AVE
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City | LOS GATOS
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State | CA
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Zip | 95032-2003
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Country | US
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Telephone | 408-356-3146
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Fax | 408-356-0267
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 58765
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License Number State | CA
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