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General NPI Number Information
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NPI Number | 1073921672
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Entity Type | Organization
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Legal Business Name | JAISHIL PLLC
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Dates
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Enumeration Date | 07/27/2014
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Last Update Date | 07/27/2014
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Provider Practice Location Address
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Address Line | 759 PARKWAY SUITE 103
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City | JUPITER
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State | FL
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Zip | 33477-4505
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Country | US
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Telephone | 561-744-3646
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Fax | 561-748-5123
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Provider Business Mailing Address
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Address Line | 759 PARKWAY SUITE 103
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City | JUPITER
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State | FL
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Zip | 33477-4505
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Country | US
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Telephone | 561-744-3646
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Fax | 561-748-5123
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. PAYAL PARIK CHOKSHI
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Credential | DMD
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Telephone | 561-744-3646
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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 | DN18713
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License Number State | FL
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