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General NPI Number Information
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NPI Number | 1306179361
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Entity Type | Individual
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Provider Name | AARTI PURI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 32160 RAILROAD CANYON RD
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City | CANYON LAKE
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State | CA
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Zip | 92587-9212
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Country | US
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Telephone | 951-674-8641
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Fax | 951-674-8642
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Provider Business Mailing Address
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Address Line | 137 W CHAPMAN AVE STE A
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City | FULLERTON
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State | CA
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Zip | 92832-1473
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Country | US
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Telephone | 714-738-6001
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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 | 58582
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 58582
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License Number State | CA
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