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General NPI Number Information
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NPI Number | 1588104343
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Entity Type | Individual
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Provider Name | ALISON OZAKI DDS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 03/21/2021
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Provider Practice Location Address
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Address Line | 14241 IMPERIAL HWY STE M
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City | LA MIRADA
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State | CA
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Zip | 90638-1950
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Country | US
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Telephone | 562-941-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 BROOKDALE AVE
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City | LA HABRA
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State | CA
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Zip | 90631-3219
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS101044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS101044
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License Number State | CA
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