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General NPI Number Information
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NPI Number | 1467756544
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Entity Type | Individual
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Provider Name | ANDREW LOUKAS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 5248 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94112
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Country | US
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Telephone | 415-334-0555
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Fax | 415-334-7732
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Provider Business Mailing Address
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Address Line | P.O. BOX 999
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City | MILLBRAE
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State | CA
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Zip | 94030
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Country | US
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Telephone | 415-334-0555
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Fax | 415-334-7732
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23124
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License Number State | CA
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