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General NPI Number Information
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NPI Number | 1871832097
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Entity Type | Individual
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Provider Name | RITU SALWAN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 1955 W TEXAS ST SUITE 12
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City | FAIRFIELD
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State | CA
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Zip | 94533-4462
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Country | US
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Telephone | 707-428-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 S. 348TH STREET SUITE K-102
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City | FEDERAL WAY
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State | WA
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Zip | 98003
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Country | US
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Telephone | 253-835-3377
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DE60154107
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 64813
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License Number State | CA
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