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NPI 1780675157

NPI 1780675157 : BARBARA OKAMOTO-SUBJECT D.D.S. : GOLETA, CA

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General NPI Number Information
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    NPI Number           |    1780675157
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA OKAMOTO-SUBJECT D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6134 CALLE REAL SUITE D
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    City                 |    GOLETA
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    State                |    CA
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    Zip                  |    93117-2066
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    Country              |    US
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    Telephone            |    805-964-2211
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6134 CALLE REAL 
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    City                 |    GOLETA
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    State                |    CA
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    Zip                  |    93117-2067
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    Country              |    US
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    Telephone            |    805-964-2211
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    32886
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DT1326
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    License Number State |    HI
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