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General NPI Number Information
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NPI Number | 1649536962
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Entity Type | Individual
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Provider Name | LINDA MORI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 5990 STONERIDGE DR STE 117
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City | PLEASANTON
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State | CA
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Zip | 94588-3234
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Country | US
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Telephone | 925-416-1054
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 RASMUSSEN CT
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City | PLEASANTON
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State | CA
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Zip | 94588-8396
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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 | 33501
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License Number State | CA
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