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General NPI Number Information
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NPI Number | 1720301120
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Entity Type | Individual
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Provider Name | NATSUYO YAMAMOTO DDS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 183 BLUE RAVINE RD
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City | FOLSOM
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State | CA
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Zip | 95630-4704
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Country | US
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Telephone | 626-548-1628
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 BLACKROCK DR #621
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City | SACRAMENTO
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State | CA
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Zip | 95835-2208
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Country | US
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Telephone | 626-548-1628
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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 | 59500
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License Number State | CA
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