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General NPI Number Information
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NPI Number | 1770440901
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Entity Type | Individual
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Provider Name | KUDSHIA TASNIM DDS
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1701 WATT AVE
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City | SACRAMENTO
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State | CA
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Zip | 95825-2141
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Country | US
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Telephone | 657-325-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 10420 188TH ST
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1033
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Country | US
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Telephone | 929-278-0879
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS112577
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License Number State | CA
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