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General NPI Number Information
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NPI Number | 1881920247
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Entity Type | Organization
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Legal Business Name | ANITA KUNDI D.O I.N.C
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 12598 #219 CENTRAL AVE SUITE B
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City | CHINO
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State | CA
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Zip | 91710-3573
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Country | US
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Telephone | 909-591-1444
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Fax | 909-591-7785
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Provider Business Mailing Address
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Address Line | 12598 #219 CENTRAL AVE SUITE B
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City | CHINO
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State | CA
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Zip | 91710
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Country | US
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Telephone | 909-591-1444
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Fax | 909-591-7785
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANITA KUNDI
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Credential | D.O
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Telephone | 909-591-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 20A67250
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License Number State | CA
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