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General NPI Number Information
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NPI Number | 1699950816
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Entity Type | Organization
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Legal Business Name | HOSKINS DENTAL CORPORATION
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 415 ALTURAS ST #4
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City | YUBA CITY
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State | CA
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Zip | 95991-4144
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Country | US
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Telephone | 530-755-9912
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Fax | 530-751-0891
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Provider Business Mailing Address
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Address Line | 415 ALTURAS ST #4
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City | YUBA CITY
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State | CA
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Zip | 95991-4144
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Country | US
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Telephone | 530-755-9912
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Fax | 530-751-0891
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Authorized Official
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Title or Position | VICE-PRESIDENT, OWNER
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Name | DR. BONITA S LIPPMAN-HOSKINS
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Credential | DDS
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Telephone | 530-755-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 41459
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30238
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License Number State | CA
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