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General NPI Number Information
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NPI Number | 1952583411
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Entity Type | Organization
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Legal Business Name | JOHN J DANN III MD DMD
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 895 MORAGA RD STE 7
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City | LAFAYETTE
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State | CA
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Zip | 94549-5039
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Country | US
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Telephone | 925-283-1212
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Fax | 925-283-1217
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Provider Business Mailing Address
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Address Line | 895 MORAGA RD STE 7
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City | LAFAYETTE
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State | CA
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Zip | 94549-5039
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Country | US
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Telephone | 925-283-1212
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Fax | 925-283-1217
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN J DANN III
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Credential | D.M.D, M.D.
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Telephone | 925-283-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G41331
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License Number State | CA
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