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General NPI Number Information
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NPI Number | 1881894327
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Entity Type | Organization
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Legal Business Name | PRAGNESH J DHOLAKIYA AND POORAN B DALWANI
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 400 E REGENT ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1316
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Country | US
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Telephone | 310-674-7590
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Fax | 310-674-3322
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Provider Business Mailing Address
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Address Line | 400 E REGENT ST
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City | INGLEWOOD
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State | CA
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Zip | 90301-1316
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Country | US
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Telephone | 310-674-7590
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Fax | 310-674-3322
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Authorized Official
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Title or Position | PARTNER
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Name | DR. PRAGNESH J DHOLAKIYA
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Credential | DDS
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Telephone | 310-674-7590
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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 | 27982
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License Number State | CA
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