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General NPI Number Information
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NPI Number | 1225608466
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Entity Type | Individual
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Provider Name | JATINDER DHILLON BDS, MDS
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5424
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Country | US
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Telephone | 954-262-2187
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Fax |
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Provider Business Mailing Address
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Address Line | 20 STILLWELL RD
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1436
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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 |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DRPM2098
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License Number State | FL
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