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General NPI Number Information
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NPI Number | 1215813464
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Entity Type | Organization
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Legal Business Name | CHEEMA & RAJASEKARAN DENTAL CORP
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3254 N TRACY BLVD
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City | TRACY
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State | CA
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Zip | 95376-1747
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Country | US
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Telephone | 209-834-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 4053 E MORADA LN
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City | STOCKTON
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State | CA
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Zip | 95212-1608
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Country | US
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Telephone | 209-225-5209
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Fax |
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Authorized Official
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Title or Position | HR MANAGER
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Name | VANIY ABRAM
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Credential |
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Telephone | 209-225-5209
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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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