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General NPI Number Information
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NPI Number | 1982340196
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Entity Type | Organization
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Legal Business Name | KALASHINI MILLER DDS PC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 73929 LARREA ST STE 2
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City | PALM DESERT
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State | CA
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Zip | 92260-4305
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Country | US
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Telephone | 760-390-1030
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Fax | 760-396-7952
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Provider Business Mailing Address
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Address Line | 73929 LARREA ST STE 2
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City | PALM DESERT
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State | CA
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Zip | 92260-4305
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Country | US
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Telephone | 760-390-1030
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Fax | 760-396-7952
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Authorized Official
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Title or Position | PRESIDENT
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Name | KALASHINI MILLER
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Credential |
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Telephone | 310-488-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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