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General NPI Number Information
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NPI Number | 1083815351
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Entity Type | Organization
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Legal Business Name | AJAY SURI DDS MS PA
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 36 RAHLING CIR
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City | LITTLE ROCK
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State | AR
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Zip | 72223
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Country | US
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Telephone | 501-821-5859
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Fax | 501-588-3455
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Provider Business Mailing Address
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Address Line | PO BOX 241534
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City | LITTLE ROCK
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State | AR
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Zip | 72223-0010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AJAY SURI
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Credential | DDS, MS
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Telephone | 501-944-6671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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