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General NPI Number Information
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NPI Number | 1982896163
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Entity Type | Organization
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Legal Business Name | MICHAEL J NELSON DDS PATRICIA L YOSHIDA DDS INC
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 365 S RANCHO SANTA FE RD #105
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City | SAN MARCOS
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State | CA
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Zip | 92078-2338
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Country | US
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Telephone | 760-471-9560
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Fax |
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Provider Business Mailing Address
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Address Line | 365 S RANCHO SANTA FE RD #105
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City | SAN MARCOS
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State | CA
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Zip | 92078-2338
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Country | US
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Telephone | 760-471-9560
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL JAMES NELSON
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Credential |
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Telephone | 760-471-9560
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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 | 33641
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License Number State | CA
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