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General NPI Number Information
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NPI Number | 1841301371
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Entity Type | Individual
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Provider Name | MAHR F ELDER D.D.S., M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1805 NOVATO BLVD SUITE #1
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City | NOVATO
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State | CA
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Zip | 94947-2934
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Country | US
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Telephone | 415-892-1190
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Fax | 415-892-7355
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Provider Business Mailing Address
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Address Line | 140 ADMIRAL CALLAGHAN LN STE B
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City | VALLEJO
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State | CA
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Zip | 94591-4005
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Country | US
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Telephone | 707-552-5644
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Fax | 707-552-5644
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 46586
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License Number State | CA
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