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General NPI Number Information
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NPI Number | 1578748331
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Entity Type | Organization
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Legal Business Name | MARWAHA AND MARWAH MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/29/2007
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Last Update Date | 01/21/2008
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Provider Practice Location Address
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Address Line | 7912 E HAMPSHIRE RD
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City | ORANGE
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State | CA
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Zip | 92867-6498
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Country | US
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Telephone | 714-402-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 7912 E HAMPSHIRE RD
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City | ORANGE
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State | CA
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Zip | 92867-6498
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Country | US
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Telephone | 714-402-6748
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TARUN MARWAHA
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Credential | MD
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Telephone | 714-402-6748
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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 | 48183
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A 70632
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License Number State | CA
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