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General NPI Number Information
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NPI Number | 1598937401
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Entity Type | Organization
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Legal Business Name | HAYASHI & DUFFALA DENTAL GROUP
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 490 POST ST STE 1220
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1309
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Country | US
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Telephone | 415-986-0382
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Fax | 415-986-0123
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Provider Business Mailing Address
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Address Line | 490 POST ST STE 1220
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1309
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Country | US
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Telephone | 415-986-0382
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Fax | 415-986-0123
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Authorized Official
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Title or Position | PARTNER
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Name | JAMES T HAYASHI
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Credential | DDS
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Telephone | 415-986-0382
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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 | 35605
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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 | 30915
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License Number State | CA
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