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General NPI Number Information
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NPI Number | 1265954184
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Entity Type | Organization
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Legal Business Name | GUNCHA SOHI DDS PC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 5615 MANZANITA AVE SUITE A
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City | CARMICHAEL
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State | CA
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Zip | 95608
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Country | US
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Telephone | 916-333-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 5615 MANZANITA AVE STE A
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City | CARMICHAEL
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State | CA
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Zip | 95608-6570
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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 | OWNER
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Name | GUNCHA SOHI
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Credential | DDS
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Telephone | 916-333-3700
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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 | 65347
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License Number State | CA
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