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General NPI Number Information
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NPI Number | 1679290787
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Entity Type | Organization
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Legal Business Name | DANIEL S NAM, DDS, INC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 3317 ELM ST
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City | OAKLAND
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State | CA
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Zip | 94609-3052
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Country | US
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Telephone | 510-451-8315
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 ELM ST
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City | OAKLAND
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State | CA
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Zip | 94609-3052
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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 | DOCTOR
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Name | DANIEL S NAM
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Credential | DDS
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Telephone | 510-451-8315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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