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General NPI Number Information
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NPI Number | 1851518534
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Entity Type | Organization
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Legal Business Name | SHEENA BHATIA, D.D.S., INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 151 S KRAEMER BLVD SUITE C1
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City | BREA
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State | CA
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Zip | 92821-4672
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Country | US
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Telephone | 714-257-9200
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Fax | 714-257-9222
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Provider Business Mailing Address
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Address Line | 151 S KRAEMER BLVD STE C1
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City | BREA
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State | CA
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Zip | 92821-4672
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Country | US
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Telephone | 714-257-9200
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Fax | 714-257-9222
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. SHEENA BHATIA
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Credential |
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Telephone | 714-257-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 50443
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License Number State | CA
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