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General NPI Number Information
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NPI Number | 1063936516
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Entity Type | Individual
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Provider Name | MADHURIMA GANGULY
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 07/26/2017
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Provider Practice Location Address
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Address Line | 2171 JUNIPERO SERRA BLVD STE 660
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City | DALY CITY
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State | CA
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Zip | 94014-1981
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Country | US
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Telephone | 425-623-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 525 NELSON RISING LN APT 906
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2299
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Country | US
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Telephone | 425-623-0103
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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 | 101697
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License Number State | CA
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