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General NPI Number Information
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NPI Number | 1396885851
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Entity Type | Individual
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Provider Name | ASHOO KHANUJA DDS MD
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/19/2008
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Provider Practice Location Address
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Address Line | 6701 ROCKSIDE RD SUITE #209
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2358
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Country | US
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Telephone | 216-328-1234
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Fax | 216-328-1229
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Provider Business Mailing Address
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Address Line | 6701 ROCKSIDE RD SUITE #209
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2358
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Country | US
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Telephone | 216-328-1234
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Fax | 216-328-1229
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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 | 21566
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 35076890K
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License Number State | OH
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