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General NPI Number Information
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NPI Number | 1861981813
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Entity Type | Organization
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Legal Business Name | RACHNA PALL D.D.S INC.
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Dates
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Enumeration Date | 05/05/2018
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Last Update Date | 05/05/2018
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Provider Practice Location Address
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Address Line | 2323 MONTPELIER DR STE B
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City | SAN JOSE
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State | CA
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Zip | 95116-1611
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Country | US
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Telephone | 408-258-4040
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Fax | 408-258-1337
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Provider Business Mailing Address
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Address Line | 2323 MONTPELIER DR STE B
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City | SAN JOSE
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State | CA
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Zip | 95116-1611
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Country | US
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Telephone | 408-258-4040
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Fax | 408-258-1337
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RACHNA PALL
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Credential | DDS
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Telephone | 408-258-4040
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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 | 50966
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License Number State | CA
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