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General NPI Number Information
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NPI Number | 1194147801
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Entity Type | Organization
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Legal Business Name | AZHAR & JINDAL DENTAL CORP
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 1900 S VICTORIA AVE
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 213-308-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 4153 OCEAN DR
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City | OXNARD
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State | CA
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Zip | 93035-3941
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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 | PARTNER
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Name | RINA JINDAL
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Credential | DDS
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Telephone | 213-308-6863
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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 | 53708
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License Number State | CA
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