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General NPI Number Information
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NPI Number | 1427208727
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Entity Type | Organization
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Legal Business Name | GALINA NASAKIN DDS INC.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 3737 EL CAMINO REAL
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City | PALO ALTO
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State | CA
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Zip | 94306-3315
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Country | US
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Telephone | 650-858-2028
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Fax | 650-858-2027
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Provider Business Mailing Address
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Address Line | 3737 EL CAMINO REAL
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City | PALO ALTO
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State | CA
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Zip | 94306-3315
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Country | US
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Telephone | 650-858-2028
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Fax | 650-858-2027
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Authorized Official
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Title or Position | DENTIST
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Name | GALINA NASAKIN
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Credential | DDS
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Telephone | 650-858-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 43045
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License Number State | CA
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