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General NPI Number Information
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NPI Number | 1972504678
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Entity Type | Individual
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Provider Name | JAMES MICHAEL PAPPENFUS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 130 E LELAND RD SUITE D
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City | PITTSBURG
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State | CA
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Zip | 94565-4983
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Country | US
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Telephone | 925-432-2995
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Fax | 925-427-3091
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Provider Business Mailing Address
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Address Line | 3649 RANCHFORD CT.
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-687-6569
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Fax | 925-427-3091
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23228
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License Number State | CA
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