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General NPI Number Information
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NPI Number | 1689980575
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Entity Type | Individual
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Provider Name | EVAN-YUTAKA KAMEALAWELAWEIMIAINA MASUNAGA DDS
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Gender | Male
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1800 BRYANT ST STE 309
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-1480
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Country | US
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Telephone | 415-373-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 BRYANT ST STE 309
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-1480
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Country | US
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Telephone | 415-373-6783
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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 | 59581
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 14218514-9926
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License Number State | UT
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