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General NPI Number Information
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NPI Number | 1659752178
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Entity Type | Individual
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Provider Name | RIMPLE SANDHU DMD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 2489 DISCOVERY BAY BLVD. #400
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City | DISCOVERY BAY
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State | CA
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Zip | 94505
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Country | US
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Telephone | 484-437-1559
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Fax | 925-679-7110
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Provider Business Mailing Address
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Address Line | 2489 DISCOVERY BAY BLVD. #400
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City | DISCOVERY BAY
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State | CA
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Zip | 94505
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Country | US
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Telephone | 484-437-1559
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Fax | 925-679-7110
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DDS102058
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License Number State | CA
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