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General NPI Number Information
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NPI Number | 1962145011
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Entity Type | Individual
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Provider Name | ARUSHA BHATIA DMD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2022
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 31103 RANCHO VIEJO RD
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1759
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Country | US
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Telephone | 949-661-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 119 OKRA
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City | IRVINE
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State | CA
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Zip | 92618-0875
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Country | US
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Telephone | 703-408-5279
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 107715
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License Number State | CA
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