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General NPI Number Information
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NPI Number | 1326445461
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Entity Type | Organization
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Legal Business Name | RANJIVENDRA NATH DDS INC
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 766 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91104-4557
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Country | US
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Telephone | 626-808-1717
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Fax | 626-808-1719
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Provider Business Mailing Address
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Address Line | 766 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91104-4557
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Country | US
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Telephone | 626-808-1717
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Fax | 626-808-1719
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANJIVENDRA NATH
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Credential | DDS
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Telephone | 626-808-1717
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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 | 46304
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License Number State | CA
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