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General NPI Number Information
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NPI Number | 1043767221
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Entity Type | Organization
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Legal Business Name | VALUE SMILES PLLC
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 2710 CENTRAL FREEWAY STE 140
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City | WICHITA FALLS
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State | TX
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Zip | 76306
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Country | US
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Telephone | 559-779-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 CENTRAL FREEWAY STE 140
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City | WICHITA FALLS
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State | TX
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Zip | 76306
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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 | OWNER DENTIST
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Name | NAVJOT RANDHAWA
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Credential |
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Telephone | 559-779-1083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31227
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License Number State | TX
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