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General NPI Number Information
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NPI Number | 1740888072
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Entity Type | Individual
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Provider Name | DR. SUMEEN MALHOTRA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2020
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 160 WASHINGTON ST UNIT 603
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City | ROCHESTER
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State | NH
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Zip | 03839-5512
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Country | US
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Telephone | 603-330-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WASHINGTON ST APT 408
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City | DOVER
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State | NH
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Zip | 03820-3991
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Country | US
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Telephone | 781-541-0458
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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 | 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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0406
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License Number State | NH
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