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General NPI Number Information
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NPI Number | 1851284210
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Entity Type | Individual
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Provider Name | MUSKAAN TANEJA
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Gender | Female
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3617 DENMARK DR STE 100
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-7756
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Country | US
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Telephone | 712-326-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 16609 W PAPAGO ST
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City | GOODYEAR
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State | AZ
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Zip | 85338-2465
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Country | US
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Telephone | 623-547-9634
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-10371
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8153
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License Number State | NE
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