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General NPI Number Information
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NPI Number | 1275691735
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Entity Type | Individual
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Provider Name | PREETI KUMAR D.D.S
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 39275 CEDAR BLVD
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City | NEWARK
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State | CA
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Zip | 94560-5007
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Country | US
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Telephone | 510-608-5810
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Fax |
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Provider Business Mailing Address
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Address Line | 133 BLACK MOUNTAIN CIR
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City | FREMONT
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State | CA
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Zip | 94536-6578
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Country | US
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Telephone | 510-494-9488
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 49569
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License Number State | CA
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