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General NPI Number Information
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NPI Number | 1891468682
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Entity Type | Individual
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Provider Name | NAVDEEP KAUR SODHI
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Gender | Female
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 11299 SAN PABLO AVE
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City | EL CERRITO
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State | CA
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Zip | 94530-2184
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Country | US
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Telephone | 908-458-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 4925 EGGERS DR
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City | FREMONT
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State | CA
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Zip | 94536-7153
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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 |
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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 | 106621
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License Number State | CA
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