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General NPI Number Information
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NPI Number | 1043447980
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Entity Type | Individual
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Provider Name | EKTA AMIN D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 1030 W IMPERIAL HWY
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City | LA HABRA
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State | CA
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Zip | 90631-6901
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Country | US
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Telephone | 714-364-8181
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Fax | 714-364-8108
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Provider Business Mailing Address
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Address Line | 1030 W IMPERIAL HWY
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City | LA HABRA
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State | CA
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Zip | 90631-6901
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Country | US
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Telephone | 714-364-8181
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Fax | 714-364-8181
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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 | DS037857
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License Number State | PA
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