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General NPI Number Information
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NPI Number | 1013001460
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Entity Type | Individual
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Provider Name | GURINDER SINGH WADHWA DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 1044 STATE ST
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City | SCHENECTADY
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State | NY
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Zip | 12307-1508
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Country | US
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Telephone | 518-370-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 5 PALISADES DR SUITE 210
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City | ALBANY
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State | NY
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Zip | 12205-6433
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Country | US
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Telephone | 518-348-0634
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Fax | 518-426-3221
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 034917
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License Number State | NY
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