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General NPI Number Information
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NPI Number | 1104355213
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Entity Type | Organization
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Legal Business Name | DR. BHATTI DDS, PLLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 201 N CHERRY ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2825
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Country | US
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Telephone | 336-996-3524
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N CHERRY ST
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City | KERNERSVILLE
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State | NC
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Zip | 27284-2825
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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 | DENTAL HYGIENIST
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Name | LINDSAY GRUMMETT
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Credential |
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Telephone | 336-996-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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