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General NPI Number Information
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NPI Number | 1689481541
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Entity Type | Individual
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Provider Name | RIJA TARIQ BHATTI DDS
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Gender | Female
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1137 N EOLA RD STE 109
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City | AURORA
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State | IL
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Zip | 60502-7097
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Country | US
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Telephone | 630-898-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 142 WILLIAM STEPHENSON DRIVE
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City | WHITBY
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State | ONTARIO
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Zip | L1N8V3
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Country | CA
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.035638
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License Number State | IL
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