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General NPI Number Information
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NPI Number | 1336538875
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Entity Type | Organization
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Legal Business Name | POOJA ASWANI DDS,INC.
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 8426 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-2414
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Country | US
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Telephone | 323-567-2137
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Fax |
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Provider Business Mailing Address
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Address Line | 8426 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-2414
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Country | US
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Telephone | 323-567-2137
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | POOJA ASWANI
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Credential | DDS
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Telephone | 310-869-5527
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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 | 49282
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License Number State | CA
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