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General NPI Number Information
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NPI Number | 1649729609
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Entity Type | Individual
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Provider Name | PRATIM ARUN KULKARNI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 10/10/2018
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Provider Practice Location Address
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Address Line | 2454 STORY RD
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City | SAN JOSE
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State | CA
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Zip | 95122-1058
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Country | US
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Telephone | 408-272-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 40523 IVES CT
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City | FREMONT
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State | CA
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Zip | 94538-2515
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Country | US
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Telephone | 769-216-7492
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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 | 100927
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License Number State | CA
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