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General NPI Number Information
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NPI Number | 1700972171
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Entity Type | Individual
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Provider Name | KATSUKO MATSUI DDS
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 435 N STATE COLLEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806-2917
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Country | US
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Telephone | 714-995-2040
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Fax | 714-995-2081
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Provider Business Mailing Address
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Address Line | 26451 CORNELL STREET
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City | LOMA LINDA
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State | CA
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Zip | 92354-6701
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Country | US
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Telephone | 909-796-5828
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 1174
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D44339
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License Number State | CA
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