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General NPI Number Information
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NPI Number | 1306566104
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Entity Type | Organization
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Legal Business Name | ADITI PAMPANIYA DDS INC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 14523 PIONEER BLVD
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City | NORWALK
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State | CA
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Zip | 90650-4876
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Country | US
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Telephone | 562-204-6366
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Fax |
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Provider Business Mailing Address
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Address Line | 4553 SHERINGTON CT
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City | CYPRESS
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State | CA
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Zip | 90630-3504
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Country | US
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Telephone | 714-209-3971
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. ADITI PAMPANIYA
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Credential | DDS
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Telephone | 714-209-3971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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