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General NPI Number Information
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NPI Number | 1003220740
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Entity Type | Individual
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Provider Name | BHADRESH MAKANI D.D.S
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Gender | Male
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 72 POTTSTOWN PIKE SUITE 103
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City | CHESTER SPRINGS
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State | PA
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Zip | 19425-9564
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Country | US
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Telephone | 610-458-5165
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Fax | 610-514-2828
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Provider Business Mailing Address
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Address Line | 943 MEADOWBROOK DR
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6957
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Country | US
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Telephone | 281-602-9373
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS040041
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License Number State | PA
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