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General NPI Number Information
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NPI Number | 1821300138
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Entity Type | Individual
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Provider Name | YOGITA THAKUR DDS
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Gender | Female
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 1807 BAY RD.
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City | E PALO ALTO
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State | CA
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Zip | 94303-1312
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Country | US
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Telephone | 650-289-7710
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Fax | 650-853-1018
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Provider Business Mailing Address
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Address Line | 1807 BAY RD
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City | EAST PALO ALTO
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State | CA
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Zip | 94303-1312
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Country | US
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Telephone | 650-289-7710
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Fax | 650-853-1018
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 57319
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 57319
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License Number State | CA
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