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General NPI Number Information
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NPI Number | 1902814908
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Entity Type | Organization
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Legal Business Name | TADAO SUZUKI DDS INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 122 S PATTERSON AVE BLDG A STE #212
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2055
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Country | US
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Telephone | 805-964-5858
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Fax | 805-967-9776
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Provider Business Mailing Address
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Address Line | 122 S PATTERSON AVE BLDG A STE #212
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2055
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Country | US
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Telephone | 805-964-5858
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Fax | 805-967-9776
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Authorized Official
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Title or Position | DENTIST PRESIDENT
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Name | DR. LLOYD SHIGEMI SUZUKI
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Credential | DDS
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Telephone | 805-964-5858
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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 | 48856
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License Number State | CA
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