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General NPI Number Information
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NPI Number | 1023822053
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Entity Type | Organization
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Legal Business Name | AHUJA DENTAL NYC PC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 217 BROADWAY RM 612
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City | NEW YORK
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State | NY
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Zip | 10007-2924
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Country | US
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Telephone | 646-604-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 130 COPA DE ORO DR
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City | BREA
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State | CA
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Zip | 92823-7013
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Country | US
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Telephone | 202-251-0408
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. TARAN KAUR REYNOLDS
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Credential |
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Telephone | 202-251-0408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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