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General NPI Number Information
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NPI Number | 1093922973
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Entity Type | Organization
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Legal Business Name | AZEEM K. LAKHA, DMD, A.P.C.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 720 COWPER ST
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City | PALO ALTO
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State | CA
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Zip | 94301
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Country | US
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Telephone | 650-328-6622
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Fax | 650-328-9970
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Provider Business Mailing Address
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Address Line | 720 COWPER ST
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City | PALO ALTO
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State | CA
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Zip | 94301
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Country | US
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Telephone | 650-328-6622
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Fax | 650-328-9970
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AZEEM K. LAKHA
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Credential | DMD
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Telephone | 650-328-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 34139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 36224
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License Number State | CA
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