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General NPI Number Information
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NPI Number | 1609035344
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Entity Type | Individual
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Provider Name | CATON JAMES STATE DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 3171 WASHINGTON ST. #D
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City | PLACERVILLE
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State | CA
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Zip | 95667-5831
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Country | US
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Telephone | 530-626-6320
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Fax | 530-626-5573
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Provider Business Mailing Address
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Address Line | 3105 CEDAR RAVINE RD STE 203
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City | PLACERVILLE
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State | CA
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Zip | 95667-6561
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Country | US
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Telephone | 530-626-6320
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Fax | 530-626-5573
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 53874
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License Number State | CA
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