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General NPI Number Information
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NPI Number | 1437458338
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Entity Type | Individual
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Provider Name | ISSA KAWAS DDS
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Gender | Male
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 2190 E BIDWELL ST
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City | FOLSOM
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State | CA
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Zip | 95630-6453
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Country | US
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Telephone | 916-984-0304
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Fax | 916-983-9012
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Provider Business Mailing Address
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Address Line | 8690 SIERRA COLLEGE BLVD STE 160-171
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City | ROSEVILLE
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State | CA
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Zip | 95661-5961
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Country | US
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Telephone |
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 61144
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 61144
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 61144
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License Number State | CA
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