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General NPI Number Information
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NPI Number | 1023286879
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Entity Type | Individual
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Provider Name | MANEEZA A KULALY DMD
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Gender | Female
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2931 HARBOR ST STE I
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City | PITTSBURG
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State | CA
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Zip | 94565-5464
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Country | US
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Telephone | 925-526-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 18 OAK ST UNIT 657
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City | BRENTWOOD
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State | CA
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Zip | 94513-9998
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Country | US
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Telephone | 214-516-5000
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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 | 65261
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License Number State | CA
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