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General NPI Number Information
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NPI Number | 1629798533
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Entity Type | Organization
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Legal Business Name | HARJYOT K BHULLAR DDS LLC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 5875 EVANS FARM DRIVE SUITE N
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City | LEWIS CENTER
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State | OH
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Zip | 43035
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Country | US
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Telephone | 740-201-1330
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Fax | 740-201-1340
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Provider Business Mailing Address
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Address Line | 5875 EVANS FARM DRIVE SUITE N
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City | LEWIS CENTER
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State | OH
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Zip | 43035
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Country | US
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Telephone | 740-201-1330
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Fax | 740-201-1340
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARJYOT KAUR BHULLAR
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Credential | DDS
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Telephone | 304-281-3186
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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 |
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License Number State |
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