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General NPI Number Information
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NPI Number | 1457804734
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Entity Type | Organization
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Legal Business Name | RAMSEY A. EZAKI, D.D.S., INC.
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 16336 WHITTIER BLVD STE 101
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City | WHITTIER
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State | CA
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Zip | 90603-2900
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Country | US
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Telephone | 562-947-9958
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Fax | 562-943-6751
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Provider Business Mailing Address
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Address Line | 16336 WHITTIER BLVD STE 101
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City | WHITTIER
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State | CA
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Zip | 90603-2900
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Country | US
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Telephone | 562-947-9958
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Fax | 562-943-6751
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMSEY ALAN EZAKI
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Credential | D.D.S.
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Telephone | 562-947-9958
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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 | 28682
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License Number State | CA
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