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General NPI Number Information
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NPI Number | 1720227556
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Entity Type | Organization
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Legal Business Name | NICOLAS TRANSITO DDS, INC
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 77 E 7TH ST SUITE C
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City | UPLAND
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State | CA
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Zip | 91786-6601
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Country | US
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Telephone | 909-946-2124
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Fax | 909-946-2128
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Provider Business Mailing Address
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Address Line | 77 E 7TH ST SUITE C
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City | UPLAND
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State | CA
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Zip | 91786-6601
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Country | US
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Telephone | 909-946-2124
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Fax | 909-946-2128
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NICOLAS TRANSITO
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Credential | DDS
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Telephone | 909-946-2124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 56584
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License Number State | CA
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