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General NPI Number Information
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NPI Number | 1801970264
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Entity Type | Individual
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Provider Name | SUNEAL P NAIK DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 985 KENDALL DR SUITE B
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City | SAN BERNARDINO
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State | CA
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Zip | 92407
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Country | US
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Telephone | 909-882-8882
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Fax | 909-882-2382
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Provider Business Mailing Address
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Address Line | 6916 OROZCO
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 951-789-7123
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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 | 36217
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License Number State | CA
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