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General NPI Number Information
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NPI Number | 1992917603
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Entity Type | Individual
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Provider Name | NATALIE JANA GHOSHEH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 1645 JOHN F KENNEDY RD
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City | DUBUQUE
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State | IA
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Zip | 52002-5107
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Country | US
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Telephone | 563-556-6383
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Fax | 563-556-0461
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Provider Business Mailing Address
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Address Line | 1509 RANIER DR
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City | IOWA CITY
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State | IA
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Zip | 52246-4176
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 08401
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License Number State | IA
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