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General NPI Number Information
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NPI Number | 1063127678
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Entity Type | Organization
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Legal Business Name | NEWLIGHT DENTAL LLC
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 8650 W 95TH ST STE 2
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City | OVERLAND PARK
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State | KS
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Zip | 66212-3246
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Country | US
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Telephone | 913-642-0031
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Fax |
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Provider Business Mailing Address
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Address Line | 14433 MAPLE ST
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City | OVERLAND PARK
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State | KS
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Zip | 66223-1256
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Country | US
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Telephone | 913-952-1978
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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 | DR. NAVKIRAN KAUR WARUA
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Credential | DDS
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Telephone | 913-952-1978
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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 |
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License Number State |
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