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General NPI Number Information
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NPI Number | 1992329585
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Entity Type | Individual
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Provider Name | NERMINE SAMIR BATNIJI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/30/2020
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Last Update Date | 05/30/2020
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Provider Practice Location Address
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Address Line | 1111 GRAND AVE STE D
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2230
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Country | US
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Telephone | 909-396-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 24155 LODGE POLE RD
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3362
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Country | US
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Telephone | 909-816-8522
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 103341
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License Number State | CA
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