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General NPI Number Information
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NPI Number | 1063524684
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Entity Type | Individual
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Provider Name | AMANJOT KHARA DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 6372 MECHANICSVILLE TURNPIKE SUITE 106
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-7100
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Country | US
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Telephone | 804-559-5808
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Fax | 804-559-9671
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Provider Business Mailing Address
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Address Line | 6372 MECHANICSVILLE TURNPIKE SUITE 106
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City | MECHANICSVILLE
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State | VA
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Zip | 23111
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Country | US
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Telephone | 804-559-5808
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Fax | 804-559-9671
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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 | 0401008652
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License Number State | VA
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