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General NPI Number Information
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NPI Number | 1447690060
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Entity Type | Organization
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Legal Business Name | PATRICIA Y VANKOOTEN DMD INC
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 251 LIGHTHOUSE AVE
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City | MONTEREY
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State | CA
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Zip | 93940-1416
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Country | US
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Telephone | 831-373-0478
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Fax | 831-373-0137
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Provider Business Mailing Address
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Address Line | 251 LIGHTHOUSE AVE
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City | MONTEREY
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State | CA
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Zip | 93940-1416
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Country | US
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Telephone | 831-373-0478
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Fax | 831-373-0137
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PATRICIA Y VAN KOOTEN
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Credential | DMD
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Telephone | 831-373-0478
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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 |
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License Number State |
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