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NPI 1104353325

NPI 1104353325 : KALPNA RANADIVE DMD, MDS, FAGS, NMD : GAITHERSBURG, MD

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General NPI Number Information
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    NPI Number           |    1104353325
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    Entity Type          |    Individual 
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    Provider Name        |    KALPNA RANADIVE DMD, MDS, FAGS, NMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2017
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    Last Update Date     |    01/14/2023
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Provider Practice Location Address
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    Address Line         |    10810 DARNESTOWN RD STE H2 
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    City                 |    GAITHERSBURG
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    State                |    MD
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    Zip                  |    20878-2602
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    Country              |    US
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    Telephone            |    301-738-1074
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    Fax                  |    240-493-8022
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Provider Business Mailing Address
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    Address Line         |    10810 DARNESTOWN RD STE H2 
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    City                 |    GAITHERSBURG
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    State                |    MD
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    Zip                  |    20878-2602
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    Country              |    US
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    Telephone            |    301-738-1074
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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        |    174H00000X
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    Taxonomy Name        |    Health Educator
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    13983
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    License Number State |    MD
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