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General NPI Number Information
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NPI Number | 1699889642
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Entity Type | Organization
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Legal Business Name | JAMES PASTOR DDS MS APC
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8950 VIA LA JOLLA DRIVE STE A 207
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City | LAJOLLA
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State | CA
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Zip | 92130
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Country | US
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Telephone | 858-452-2800
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Fax | 858-452-3795
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Provider Business Mailing Address
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Address Line | 8950 VIA LA JOLLA DRIVE STE A 207
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City | LAJOLLA
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State | CA
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Zip | 92130
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Country | US
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Telephone | 858-452-2800
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Fax | 858-452-3795
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES EARL PASTOR
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Credential | DDS MS
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Telephone | 858-452-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 28784
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License Number State | CA
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