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General NPI Number Information
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NPI Number | 1649165465
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Entity Type | Individual
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Provider Name | ANAND PURUSHOTTAM BHALODI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 939 S 12TH AVE
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City | HANFORD
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State | CA
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Zip | 93230-5705
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Country | US
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Telephone | 844-767-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 6826 THISTLE ST
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City | EASTVALE
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State | CA
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Zip | 92880-9110
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Country | US
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Telephone | 840-200-5183
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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 | 111666
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License Number State | CA
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