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General NPI Number Information
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NPI Number | 1902064033
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Entity Type | Organization
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Legal Business Name | EDWARD H RYONO DDS INCORPORATED
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 4860 CHERRY AVENUE SUITE A
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City | SAN JOSE
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State | CA
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Zip | 95118-3716
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Country | US
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Telephone | 408-266-2153
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 CHERRY AVENUE SUITE A
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City | SAN JOSE
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State | CA
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Zip | 95118-3716
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Country | US
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Telephone | 408-266-2153
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWARD HIDEKI RYONO
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Credential | DDS
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Telephone | 408-266-2153
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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 | 19805
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License Number State | CA
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