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General NPI Number Information
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NPI Number | 1720593874
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Entity Type | Individual
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Provider Name | MUTHANNA BAJNIED DDS
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Gender | Male
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 1125 E CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93307-1201
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Country | US
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Telephone | 661-632-2144
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Fax | 661-328-4211
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1559
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Country | US
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Telephone | 661-635-3050
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Fax | 661-326-1347
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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