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General NPI Number Information
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NPI Number | 1508027285
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Entity Type | Individual
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Provider Name | JULIETTE TAMKIN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 245 LOMBARD ST.
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City | THOUSAND OAKS
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State | CA
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Zip | 91360
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Country | US
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Telephone | 805-495-2431
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Fax | 805-497-7272
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Provider Business Mailing Address
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Address Line | 5737 KANAN ROAD #524
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City | AGOURA HILLS
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State | CA
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Zip | 91301
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Country | US
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Telephone | 818-259-6416
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Fax |
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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 | 55799
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 55799
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License Number State | CA
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