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General NPI Number Information
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NPI Number | 1174340632
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Entity Type | Organization
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Legal Business Name | MANANDHAR DDS INC.
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 2635 HUMBOLDT AVE
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City | OAKLAND
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State | CA
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Zip | 94602-3602
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Country | US
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Telephone | 925-317-1750
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 HUMBOLDT AVE
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City | OAKLAND
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State | CA
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Zip | 94602-3602
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Country | US
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Telephone |
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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. MANABU MANANDHAR
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Credential | DDS
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Telephone | 925-317-1750
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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 |
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License Number State |
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