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General NPI Number Information
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NPI Number | 1912393190
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Entity Type | Organization
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Legal Business Name | SATAR & NANGOLI, A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 401 GREGORY LN STE 204
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2842
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Country | US
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Telephone | 925-685-9500
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Fax | 925-685-9580
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Provider Business Mailing Address
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Address Line | 401 GREGORY LN STE 204
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2842
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Country | US
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Telephone | 925-685-9500
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Fax | 925-685-9580
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. RAMEZ SATAR
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Credential | D.M.D.
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Telephone | 925-685-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 57529
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License Number State | CA
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