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General NPI Number Information
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NPI Number | 1023773751
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Entity Type | Organization
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Legal Business Name | TANYA RAJDEV, DDS, PLLC
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 229 BRIARCLIFF DR SUITE #C AND D
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City | CLAYTON
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State | NC
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Zip | 27527
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Country | US
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Telephone | 919-578-3069
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Fax |
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Provider Business Mailing Address
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Address Line | 721 PIERMONT DR
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City | CARY
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State | NC
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Zip | 27519-8835
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Country | US
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Telephone | 919-800-7891
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Fax |
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Authorized Official
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Title or Position | ORGANIZER/MEMBER
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Name | DR. TANYA RAJDEV
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Credential | DDS
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Telephone | 919-800-7891
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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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