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General NPI Number Information
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NPI Number | 1730300401
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Entity Type | Organization
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Legal Business Name | JOSEPH A. WHITEHOUSE, M.S., D.D.S., INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 3603 JAMISON WAY
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4303
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Country | US
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Telephone | 510-881-1924
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Fax |
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Provider Business Mailing Address
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Address Line | 3603 JAMISON WAY
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-4303
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Country | US
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Telephone | 510-881-1924
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Fax |
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Authorized Official
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Title or Position | DENTIST, OFFICER
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Name | DR. JOSEPH ALAN WHITEHOUSE
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Credential | DDS
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Telephone | 510-881-1924
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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 | 23772
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License Number State | CA
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