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General NPI Number Information
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NPI Number | 1093035842
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Entity Type | Individual
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Provider Name | SIDDHARTH JAWAHAR TALSANIA D.D.S
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Gender | Male
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 908 AUDELIA RD STE 400
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City | RICHARDSON
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State | TX
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Zip | 75081-5150
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Country | US
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Telephone | 972-231-0799
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Fax | 972-231-7895
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Provider Business Mailing Address
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Address Line | 2626 DAMES LN
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City | IRVING
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State | TX
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Zip | 75063-3531
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Country | US
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Telephone | 201-962-5555
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 59295
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 26425
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26425
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License Number State | TX
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