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General NPI Number Information
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NPI Number | 1831690403
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Entity Type | Organization
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Legal Business Name | SHIVAM NAND DMD INC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 6855 FAIR OAKS BLVD STE 800
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City | CARMICHAEL
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State | CA
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Zip | 95608-3365
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Country | US
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Telephone | 916-333-1875
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Fax | 916-515-8663
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Provider Business Mailing Address
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Address Line | 6855 FAIR OAKS BLVD STE 800
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City | CARMICHAEL
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State | CA
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Zip | 95608-3365
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Country | US
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Telephone | 916-333-1875
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Fax | 916-515-8663
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SHIVAM NAND
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Credential | DMD
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Telephone | 916-333-1875
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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 | 64656
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License Number State | CA
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