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NPI 1770615692

NPI 1770615692 : JAMES E. DICKEY D.D.S. A.P.C. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1770615692
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES E. DICKEY D.D.S. A.P.C. 
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Dates
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    Enumeration Date     |    03/09/2007
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    Last Update Date     |    12/14/2015
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Provider Practice Location Address
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    Address Line         |    3660 WILSHIRE BLVD STE 1026 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90010-2751
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    Country              |    US
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    Telephone            |    213-383-4151
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    Fax                  |    213-383-9490
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Provider Business Mailing Address
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    Address Line         |    3660 WILSHIRE BLVD STE 1026 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90010-2751
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    Country              |    US
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    Telephone            |    213-383-4151
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    Fax                  |    213-383-9490
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. JAMES E DICKEY 
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    Credential           |    DDS
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    Telephone            |    213-383-4151
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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       |    
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    License Number State |    
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