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General NPI Number Information
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NPI Number | 1841508538
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Entity Type | Organization
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Legal Business Name | DR.H.C.AHUJA DDS A P C
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 1080 E WASHINGTON ST STE B
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City | COLTON
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State | CA
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Zip | 92324-4185
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Country | US
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Telephone | 909-783-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 E WASHINGTON ST STE B
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City | COLTON
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State | CA
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Zip | 92324-4185
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Country | US
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Telephone | 909-783-4100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARKISHAN AHUJA
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Credential | DDS,MDS
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Telephone | 951-352-4959
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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 | 29047
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License Number State | CA
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