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General NPI Number Information
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NPI Number | 1720396906
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Entity Type | Organization
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Legal Business Name | SCOTT A. TANGEMAN D.D.S., INC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 5500 MING AVE SUITE 165
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4689
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Country | US
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Telephone | 661-835-8785
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Fax | 661-835-8786
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Provider Business Mailing Address
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Address Line | 5500 MING AVE SUITE 165
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4689
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Country | US
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Telephone | 661-835-8785
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Fax | 661-835-8786
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. SCOTT ANTHONY TANGEMAN
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Credential | D.D.S.
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Telephone | 661-835-8785
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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 | 031870
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License Number State | CA
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