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General NPI Number Information
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NPI Number | 1922138726
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Entity Type | Individual
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Provider Name | ASHOK N VEERANKI DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 1600 W YOSEMITE AVE STE#3
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City | MANTECA
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State | CA
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Zip | 95337-5188
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Country | US
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Telephone | 209-823-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 W YOSEMITE AVE STE#3
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City | MANTECA
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State | CA
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Zip | 95337-5188
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Country | US
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Telephone | 209-823-9371
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 51526
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 7212
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License Number State | AZ
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