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General NPI Number Information
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NPI Number | 1952785339
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Entity Type | Organization
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Legal Business Name | RAWLINS & LYONS DDS INC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 675 CONTRA COSTA BLVD
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City | PLEASANT HILL
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State | CA
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Zip | 94523-1514
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Country | US
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Telephone | 925-689-5800
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Fax | 925-689-5887
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Provider Business Mailing Address
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Address Line | PO BOX 4785
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-0024
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Country | US
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Telephone | 925-689-5800
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Fax | 925-689-5887
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH RAWLINS
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Credential | DDS
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Telephone | 916-229-9941
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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 | 51046
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License Number State | CA
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