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General NPI Number Information
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NPI Number | 1265877922
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Entity Type | Organization
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Legal Business Name | NURANI, MITCHELL, KIM, PC
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 7407 N DIVISION ST STE K
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City | SPOKANE
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State | WA
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Zip | 99208-5689
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Country | US
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Telephone | 509-464-2001
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Fax | 509-464-2008
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Provider Business Mailing Address
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Address Line | 7407 N DIVISION ST STE K
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City | SPOKANE
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State | WA
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Zip | 99208-5689
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Country | US
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Telephone | 509-464-2001
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Fax | 509-464-2008
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHIFA A NURANI
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Credential | DDS
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Telephone | 714-578-6358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00008078
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License Number State | WA
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