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General NPI Number Information
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NPI Number | 1720165921
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Entity Type | Individual
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Provider Name | AIHAM MACHHADANI DDS
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1451 N MONTEBELLO BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2584
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Country | US
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Telephone | 323-714-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 831 S WEBSTER AVE UNIT 11
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City | ANAHEIM
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State | CA
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Zip | 92804-4182
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Country | US
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Telephone | 714-496-9645
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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 | 50640
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License Number State | CA
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