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General NPI Number Information
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NPI Number | 1770888414
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Entity Type | Individual
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Provider Name | ERUM MAKHANI DDS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 1150 SCOTT BLVD SUITE A2
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City | SANTA CLARA
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State | CA
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Zip | 95050-4547
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Country | US
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Telephone | 408-985-7933
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Fax |
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Provider Business Mailing Address
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Address Line | 503 PALO VERDE CMNS
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City | FREMONT
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State | CA
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Zip | 94539-5881
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Country | US
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Telephone | 408-391-0390
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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 | 58740
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License Number State | CA
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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 | 58740
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License Number State | CA
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