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General NPI Number Information
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NPI Number | 1063355295
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Entity Type | Organization
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Legal Business Name | RAKESH GADDE DMD PLLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 125 W 3RD ST
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City | PALISADE
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State | CO
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Zip | 81526
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Country | US
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Telephone | 970-464-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 125 W 3RD ST PO BOX 788
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City | PALISADE
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State | CO
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Zip | 81526
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Country | US
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Telephone | 970-464-5123
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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. RAKESH GADDE
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Credential | DMD
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Telephone | 815-954-0096
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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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