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General NPI Number Information
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NPI Number | 1174290068
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Entity Type | Individual
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Provider Name | NAVNEET K MALHI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 3332 N TEXAS ST STE C
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City | FAIRFIELD
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State | CA
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Zip | 94533-9806
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Country | US
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Telephone | 707-399-9082
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Fax |
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Provider Business Mailing Address
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Address Line | 823 DODD CT
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City | BAY POINT
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State | CA
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Zip | 94565-6759
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Country | US
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Telephone | 703-659-7505
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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 | 106897
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License Number State | CA
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