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General NPI Number Information
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NPI Number | 1376428128
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Entity Type | Individual
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Provider Name | SARAH NAGAMINE
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Gender |
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 351 FELICE DR
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City | HOLLISTER
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State | CA
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Zip | 95023-3361
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Country | US
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Telephone | 831-637-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 3076 ARLINGTON DR
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City | APTOS
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State | CA
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Zip | 95003-3139
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Country | US
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Telephone | 831-234-6065
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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 | 112115
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License Number State | CA
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