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General NPI Number Information
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NPI Number | 1417122722
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Entity Type | Organization
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Legal Business Name | JAMES R. KORB II, D.D.S.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 355 PLACENTIA AVE SUITE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3311
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Country | US
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Telephone | 949-650-2334
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Fax | 949-722-1461
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Provider Business Mailing Address
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Address Line | 355 PLACENTIA AVE SUITE 105
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3311
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Country | US
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Telephone | 949-650-2334
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Fax | 949-722-1461
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | JAMES RICHARD KORB II
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Credential | D.D.S.
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Telephone | 949-650-2334
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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 | 19918
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License Number State | CA
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