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General NPI Number Information
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NPI Number | 1689237786
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Entity Type | Individual
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Provider Name | VENIAMIN DRONOV DDS
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Gender | Male
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1092
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Country | US
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Telephone | 510-437-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 EL CAMINO REAL APT 4105
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City | PALO ALTO
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State | CA
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Zip | 94306-4052
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Country | US
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Telephone | 916-743-6845
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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 | 103467
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License Number State | CA
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