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NPI 1962606301

NPI 1962606301 : JAMES LAI D.D.S. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1962606301
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES LAI D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/11/2007
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    Last Update Date     |    08/15/2017
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Provider Practice Location Address
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    Address Line         |    8231 E STOCKTON BLVD STE C 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95828-8202
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    Country              |    US
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    Telephone            |    916-368-3080
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    Fax                  |    916-405-6551
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Provider Business Mailing Address
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    Address Line         |    8231 E STOCKTON BLVD STE C 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95828-8202
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    19027352
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    D 7753
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    6305-15
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    62113
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    License Number State |    CA
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