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General NPI Number Information
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NPI Number | 1063187573
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Entity Type | Individual
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Provider Name | NAVTEJ ATWAL
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Gender | Male
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 119 WASHINGTON AVE STE 601
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City | MIAMI BEACH
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State | FL
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Zip | 33139-7232
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Country | US
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Telephone | 305-534-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 6708 18AVE SEW
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City | EDMONTON
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State | ALBERTA
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Zip | T6X0G9
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Country | CA
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN26107
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License Number State | FL
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