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General NPI Number Information
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NPI Number | 1568905917
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Entity Type | Organization
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Legal Business Name | ELDER DENTAL CORP
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 12/02/2016
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Provider Practice Location Address
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Address Line | 19 ROTARY WAY
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City | VALLEJO
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State | CA
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Zip | 94591-8475
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Country | US
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Telephone | 415-890-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 19 ROTARY WAY
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City | VALLEJO
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State | CA
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Zip | 94591-8475
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Country | US
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Telephone | 415-890-1190
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAHR ELDER
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Credential | DDS
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Telephone | 415-890-1190
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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 | 93771
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License Number State | CA
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