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General NPI Number Information
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NPI Number | 1821798976
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Entity Type | Individual
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Provider Name | ISABELLA BHOLE DDS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 7617 SANTA MONICA BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-2324
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Country | US
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Telephone | 212-305-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 1819 KELTON AVE PH 5
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City | LOS ANGELES
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State | CA
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Zip | 90025-6781
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Country | US
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Telephone | 212-305-6100
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 111176
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License Number State | CA
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