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NPI 1497808158

NPI 1497808158 : JAMES HENRY PIPER D.D.S. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1497808158
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES HENRY PIPER D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3530 SILVERGATE PL 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92106-3332
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    Country              |    US
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    Telephone            |    619-226-0330
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    Fax                  |    619-224-4687
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Provider Business Mailing Address
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    Address Line         |    3530 SILVERGATE PL 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92106-3332
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    Country              |    US
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    Telephone            |    619-226-0330
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    Fax                  |    619-224-4687
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    21743
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    License Number State |    CA
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