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General NPI Number Information
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NPI Number | 1891125720
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Entity Type | Organization
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Legal Business Name | POOJA MALIK,DDS,INC.
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | 185 FRONT ST ST 105
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City | DANVILLE
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State | CA
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Zip | 94526-3331
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Country | US
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Telephone | 510-579-4981
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 GOLDENROD LN
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City | SAN RAMON
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State | CA
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Zip | 94582-5536
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. POOJA MALIK
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Credential |
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Telephone | 510-579-4981
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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 | 54017
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License Number State | CA
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