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General NPI Number Information
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NPI Number | 1568113520
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Entity Type | Organization
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Legal Business Name | ERIKA TAKANAMI, DDS, PLLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 3205 NE 78TH ST STE 11
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City | VANCOUVER
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State | WA
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Zip | 98665-0697
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Country | US
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Telephone | 360-576-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 LOUISE ST
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City | IOWA CITY
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State | IA
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Zip | 52240-2505
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Country | US
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Telephone | 319-471-7683
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ERIKA TAKANAMI
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Credential | DDS
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Telephone | 319-471-7683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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