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General NPI Number Information
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NPI Number | 1548877483
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Entity Type | Individual
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Provider Name | JANAM GILL DDS
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Gender | Female
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 12223 HIGHLAND AVE STE 108
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2518
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Country | US
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Telephone | 909-463-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 MAGNOLIA AVE UNIT 313
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City | MONTCLAIR
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State | CA
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Zip | 91763-1463
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Country | US
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Telephone | 310-500-6628
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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 | 105580
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License Number State | CA
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