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General NPI Number Information
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NPI Number | 1902345812
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Entity Type | Organization
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Legal Business Name | LANDMARKS DELANO FAMILY DENTISTRY
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 2232 GIRARD ST
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City | DELANO
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State | CA
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Zip | 93215-3808
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Country | US
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Telephone | 661-721-1670
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Fax | 661-721-2456
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Provider Business Mailing Address
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Address Line | 2232 GIRARD ST
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City | DELANO
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State | CA
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Zip | 93215-3808
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Country | US
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Telephone | 661-721-1670
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Fax | 661-721-2456
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOHN WILLIAM POSTGATE
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Credential | DDS
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Telephone | 661-330-0703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 33650
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License Number State | CA
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