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General NPI Number Information
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NPI Number | 1528452653
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Entity Type | Organization
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Legal Business Name | TALIM DDS INC
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 12793 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-4003
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Country | US
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Telephone | 714-903-9963
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Fax | 714-903-0026
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Provider Business Mailing Address
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Address Line | 12793 BEACH BLVD
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City | STANTON
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State | CA
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Zip | 90680-4003
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Country | US
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Telephone | 714-903-9963
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Fax | 714-903-0026
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Authorized Official
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Title or Position | DENTIST
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Name | DARSHITA TALIM
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Credential | DDS
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Telephone | 714-903-9963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 51141
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License Number State | CA
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