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General NPI Number Information
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NPI Number | 1770262636
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Entity Type | Organization
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Legal Business Name | ABHISHEK RANJAN DDS A PROFESSIONAL CORP
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 26953 MISSION BLVD STE J
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City | HAYWARD
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State | CA
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Zip | 94544-4157
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Country | US
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Telephone | 747-389-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TOWNSEND ST # 2-0706
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-2046
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Country | US
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Telephone | 747-389-4709
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Fax |
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Authorized Official
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Title or Position | CEO/CFO
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Name | DR. ABHISHEK RANJAN
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Credential | DDS
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Telephone | 747-389-4709
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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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