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NPI 1417789215

NPI 1417789215 : NARAYAN JOSHI DDS : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1417789215
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    Entity Type          |    Individual 
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    Provider Name        |    NARAYAN JOSHI DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/19/2024
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    Last Update Date     |    08/19/2024
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Provider Practice Location Address
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    Address Line         |    6623 N RIVERSIDE DR STE 101 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93722-9325
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    Country              |    US
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    Telephone            |    559-547-3120
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    Fax                  |    559-547-3120
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Provider Business Mailing Address
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    Address Line         |    252 N TERRY AVE 
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    City                 |    CLOVIS
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    State                |    CA
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    Zip                  |    93612-0292
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    Country              |    US
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    Telephone            |    559-892-6301
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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       |    110584
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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       |    110584
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    License Number State |    CA
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