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General NPI Number Information
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NPI Number | 1447539275
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Entity Type | Individual
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Provider Name | SHIBANI DALAL MEHTA D.D.S
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 14544 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90605-2129
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Country | US
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Telephone | 562-698-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 14544 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90605-2129
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Country | US
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Telephone | 562-698-9855
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 60634
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License Number State | CA
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