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General NPI Number Information
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NPI Number | 1215738752
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Entity Type | Individual
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Provider Name | MONIKA NANCHAHAL
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 210 N 11TH AVE
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City | HANFORD
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State | CA
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Zip | 93230-4590
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Country | US
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Telephone | 484-757-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 413 BIANCA CIR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2201
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Country | US
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Telephone | 484-757-7557
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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 | 111351
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License Number State | CA
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