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General NPI Number Information
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NPI Number | 1972013175
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Entity Type | Organization
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Legal Business Name | KAMI HOSS, D.D.S. INC.
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 2226 OTAY LAKES RD
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City | CHULA VISTA
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State | CA
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Zip | 91915-1010
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Country | US
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Telephone | 619-216-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 9737 AERO DR
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City | SAN DIEGO
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State | CA
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Zip | 92123-1859
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Country | US
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Telephone | 619-591-2657
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. TAYLOR S MOTA
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Credential |
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Telephone | 619-737-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 41016
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License Number State | CA
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