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General NPI Number Information
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NPI Number | 1699396846
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Entity Type | Organization
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Legal Business Name | NIHAR D TANNA DDS MS INCORPORATED
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 14232 SCHLEISMAN RD STE 220
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City | EASTVALE
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State | CA
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Zip | 92880-4021
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Country | US
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Telephone | 909-464-9348
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Fax | 909-464-9349
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Provider Business Mailing Address
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Address Line | 27035 BIG HORN MOUNTAIN WAY
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City | YORBA LINDA
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State | CA
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Zip | 92887-4211
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Country | US
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Telephone | 909-753-8215
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NIHAR D TANNA
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Credential | D.D.S.,M.S.INC
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Telephone | 909-464-9348
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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 |
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License Number State |
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