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General NPI Number Information
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NPI Number | 1457366049
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Entity Type | Organization
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Legal Business Name | ARTMOND G LOUIE DDS INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 200 FAIRGROUNDS DR
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City | VALLEJO
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State | CA
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Zip | 94589
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Country | US
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Telephone | 707-552-8195
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Fax | 707-552-8624
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Provider Business Mailing Address
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Address Line | 200 FAIRGROUNDS DR
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City | VALLEJO
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State | CA
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Zip | 94589
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Country | US
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Telephone | 707-552-8195
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Fax | 707-552-8624
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Authorized Official
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Title or Position | DENTIST
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Name | ARTMOND G LOUIE
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Credential | DDS
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Telephone | 707-552-8195
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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 | 27024
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License Number State | CA
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