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General NPI Number Information
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NPI Number | 1649584426
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Entity Type | Individual
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Provider Name | MEENA TANWAR-AHUJA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 333 CORPORATE DR STE 200
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City | LADERA RANCH
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State | CA
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Zip | 92694-2179
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Country | US
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Telephone | 949-347-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 24422 AVENIDA DE LA CARLOTA STE 300
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-3628
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Country | US
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Telephone | 949-599-2434
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Fax | 949-599-2430
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R71718
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A129156
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License Number State | CA
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