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General NPI Number Information
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NPI Number | 1609229244
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Entity Type | Organization
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Legal Business Name | EVERYDAY DENTAL A DENTAL CORPORATION OF RACHNA SURANA DDS
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 30021 ALICIA PKWY
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2090
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Country | US
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Telephone | 949-363-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 30021 ALICIA PKWY
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2090
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Country | US
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Telephone | 949-363-5880
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DANYELLE DEL PRADO
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Credential |
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Telephone | 949-363-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | CA
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