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General NPI Number Information
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NPI Number | 1700134590
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Entity Type | Organization
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Legal Business Name | RESHMA NAZIR DDS INC
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 3380 BLACKHAWK PLAZA CIR SUITE 210
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City | DANVILLE
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State | CA
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Zip | 94506-4909
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Country | US
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Telephone | 925-553-7904
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Fax | 925-886-8059
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Provider Business Mailing Address
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Address Line | 3380 BLACKHAWK PLAZA CIR SUITE 210
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City | DANVILLE
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State | CA
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Zip | 94506-4909
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Country | US
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Telephone | 925-553-7904
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Fax | 925-886-8059
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RESHMA NAZIR
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Credential | DDS, FFDRCSI
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Telephone | 924-553-7904
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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 | 49782
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License Number State | CA
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