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General NPI Number Information
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NPI Number | 1114434511
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Entity Type | Organization
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Legal Business Name | POKHREL, DDS, INC.
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Dates
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Enumeration Date | 01/08/2018
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 254 5TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4116
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Country | US
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Telephone | 917-513-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 153 N SAN MATEO DR APT 102
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City | SAN MATEO
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State | CA
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Zip | 94401-2773
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Country | US
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Telephone | 267-872-1535
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SRIJANA POKHREL
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Credential | DDS
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Telephone | 917-513-8150
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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 | 65313
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License Number State | CA
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Taxonomy #2
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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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