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General NPI Number Information
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NPI Number | 1689091761
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Entity Type | Organization
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Legal Business Name | LILY A NAMSINH DDS APC.
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 13945 HARBOR BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4012
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Country | US
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Telephone | 714-554-7123
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Fax | 714-554-3273
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Provider Business Mailing Address
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Address Line | 13945 HARBOR BLVD
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City | GARDEN GROVE
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State | CA
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Zip | 92843-4012
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Country | US
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Telephone | 714-554-7123
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Fax | 714-554-3273
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Authorized Official
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Title or Position | OWNER
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Name | LILY A NAMSINH DDS APC
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Credential | DDS
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Telephone | 714-554-7123
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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 | 38208
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License Number State | CA
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