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General NPI Number Information
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NPI Number | 1366957995
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Entity Type | Organization
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Legal Business Name | R HAYASHI DDS INC
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 301 RAILROAD AVE
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City | RODEO
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State | CA
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Zip | 94572-1126
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Country | US
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Telephone | 510-455-7486
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Fax | 877-739-4950
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Provider Business Mailing Address
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Address Line | 448 IGNACIO BLVD UNIT 319
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City | NOVATO
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State | CA
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Zip | 94949-6085
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Country | US
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Telephone | 949-481-5949
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Fax | 877-739-4950
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | CAROLINE DEVEREUX
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Credential |
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Telephone | 949-481-5949
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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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