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General NPI Number Information
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NPI Number | 1497364228
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Entity Type | Individual
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Provider Name | NAUMAN AHMAD BAJWA
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Gender | Male
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 3380 LA SIERRA AVE STE 108
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City | RIVERSIDE
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State | CA
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Zip | 92503-5225
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Country | US
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Telephone | 469-208-6771
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 LA SIERRA AVE STE 108
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City | RIVERSIDE
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State | CA
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Zip | 92503-5225
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Country | US
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Telephone | 469-208-6771
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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 | 36361
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 111437
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License Number State | CA
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