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General NPI Number Information
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NPI Number | 1518399518
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Entity Type | Organization
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Legal Business Name | S. M. BHATT, D.D.S. INC.
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 2545 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4706
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Country | US
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Telephone | 626-961-1574
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Fax | 626-369-7455
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Provider Business Mailing Address
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Address Line | 2545 S HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4706
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Country | US
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Telephone | 626-961-1574
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Fax | 626-369-7455
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SHAILESHKUMAR M. BHATT
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Credential | DDS
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Telephone | 626-961-1574
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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 | 33550
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License Number State | CA
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