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General NPI Number Information
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NPI Number | 1447868450
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Entity Type | Organization
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Legal Business Name | DHARMA MEDICAL
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 14860 ROSCOE BLVD STE 304
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4695
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Country | US
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Telephone | 310-938-7285
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Fax |
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Provider Business Mailing Address
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Address Line | 14860 ROSCOE BLVD STE 304
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4695
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Country | US
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Telephone | 310-938-7285
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | PUNEET DHAWAN
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Credential | MD
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Telephone | 310-938-7285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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