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General NPI Number Information
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NPI Number | 1881118982
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Entity Type | Individual
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Provider Name | ISHA HUNJAN DDS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 2111 NE 25TH AVE # JF5
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City | HILLSBORO
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State | OR
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Zip | 97124-5961
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Country | US
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Telephone | 503-991-2351
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Fax |
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Provider Business Mailing Address
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Address Line | 15015 NW PERIMETER DR
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City | BEAVERTON
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State | OR
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Zip | 97006-5415
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Country | US
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Telephone | 661-520-7994
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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 | DDS101332
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License Number State | CA
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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 | D11256
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License Number State | OR
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