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General NPI Number Information
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NPI Number | 1245665496
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Entity Type | Organization
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Legal Business Name | NIKKI CHAUHAN, D.D.S.,INC.
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 7230 S LAND PARK DR STE#123
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City | SACRAMENTO
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State | CA
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Zip | 95831-3659
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Country | US
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Telephone | 916-392-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 221 ORRINGTON CIR
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City | SACRAMENTO
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State | CA
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Zip | 95835-1624
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Country | US
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Telephone | 916-747-7483
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. NIKKI CHAUHAN
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Credential | DDS
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Telephone | 916-747-7483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 47239
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License Number State | CA
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