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General NPI Number Information
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NPI Number | 1447991716
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Entity Type | Organization
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Legal Business Name | ANDREW INAGAKI DDS PC
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | 147 HOPE ST UNIT COMM
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City | BROOKLYN
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State | NY
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Zip | 11211-4185
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Country | US
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Telephone | 347-227-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 54 E 8TH ST APT 2C
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City | NEW YORK
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State | NY
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Zip | 10003-6510
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Country | US
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Telephone | 818-317-2497
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW INAGAKI
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Credential | DDS
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Telephone | 818-317-2497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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