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General NPI Number Information
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NPI Number | 1801549381
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Entity Type | Organization
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Legal Business Name | KIRANDEEP KAUR DDS INC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 1222 W COLONY RD STE 140
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City | RIPON
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State | CA
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Zip | 95366-9482
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Country | US
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Telephone | 209-924-4089
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Fax | 209-924-4089
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Provider Business Mailing Address
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Address Line | 1361 S HART DR
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City | MOUNTAIN HOUSE
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State | CA
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Zip | 95391-1483
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KIRANDEEP KAUR
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Credential | DDS
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Telephone | 646-413-5840
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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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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