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General NPI Number Information
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NPI Number | 1720337678
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Entity Type | Organization
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Legal Business Name | PARESH B. KUMAR, DDS,INC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 15321 ELLIOT AVE
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City | LA PUENTE
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State | CA
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Zip | 91744
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Country | US
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Telephone | 626-968-3793
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Fax | 626-968-1530
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Provider Business Mailing Address
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Address Line | 15321 ELLIOT AVE
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City | LA PUENTE
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State | CA
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Zip | 91744
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Country | US
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Telephone | 626-968-3793
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Fax | 626-968-1530
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARESH BHADRA KUMAR
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Credential | DDS
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Telephone | 626-968-3793
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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 | 35929
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License Number State | CA
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