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General NPI Number Information
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NPI Number | 1841605151
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Entity Type | Organization
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Legal Business Name | ASWANI DENTAL CORPORATION
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 12940 FOOTHILL BLVD STE C
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City | SAN FERNANDO
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State | CA
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Zip | 91340
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Country | US
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Telephone | 818-408-5100
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Fax | 818-408-5111
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Provider Business Mailing Address
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Address Line | 12940 FOOTHILL BOULEVARD, #C
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City | SAN FERNANDO
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State | CA
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Zip | 91340
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Country | US
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Telephone | 818-408-5100
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Fax | 818-408-5111
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Authorized Official
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Title or Position | DENTIST
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Name | POOJA ASWANI
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Credential |
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Telephone | 310-869-5527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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