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General NPI Number Information
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NPI Number | 1669140703
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Entity Type | Individual
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Provider Name | ARVIN PAL DDS
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Gender | Male
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 10982 ROEBLING AVE APT 514
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City | LOS ANGELES
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State | CA
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Zip | 90024-2793
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Country | US
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Telephone | 925-899-6517
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Fax |
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Provider Business Mailing Address
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Address Line | 10982 ROEBLING AVE APT 514
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City | LOS ANGELES
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State | CA
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Zip | 90024-2793
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Country | US
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Telephone | 925-899-6517
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS104610
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License Number State | CA
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