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General NPI Number Information
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NPI Number | 1437720703
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Entity Type | Individual
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Provider Name | KINHA THAKKAR DDS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 1575 N GRAND AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-8511
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Country | US
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Telephone | 714-689-7672
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Fax |
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Provider Business Mailing Address
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Address Line | 3972 BARRANCA PKWY STE J329
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City | IRVINE
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State | CA
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Zip | 92606-1204
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Country | US
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Telephone | 818-876-2713
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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 | DDS106247
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License Number State | CA
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