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General NPI Number Information
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NPI Number | 1811772452
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Entity Type | Individual
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Provider Name | AKSHYETA AMATYA DDS
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 32364 DYER ST
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City | UNION CITY
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State | CA
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Zip | 94587-1720
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Country | US
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Telephone | 510-324-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 37489 BOWLINE RD
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City | NEWARK
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State | CA
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Zip | 94560-7351
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Country | US
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Telephone | 513-883-9301
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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 | 109217
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License Number State | CA
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