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General NPI Number Information
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NPI Number | 1750916698
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Entity Type | Organization
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Legal Business Name | E AMIN DMD, INC.
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 1030 W IMPERIAL HWY
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City | LA HABRA
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State | CA
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Zip | 90631-6901
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Country | US
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Telephone | 714-364-8181
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Fax | 714-364-8108
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Provider Business Mailing Address
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Address Line | 1030 W IMPERIAL HWY
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City | LA HABRA
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State | CA
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Zip | 90631-6901
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Country | US
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Telephone | 714-364-8181
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Fax | 714-364-8108
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Authorized Official
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Title or Position | OWNER
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Name | EKTA AMIN
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Credential |
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Telephone | 714-364-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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