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General NPI Number Information
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NPI Number | 1104479724
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Entity Type | Individual
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Provider Name | PRAVEEN KUMAR GONUGUNTLA KAMMA DMD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 3650 W STAN SCHLUETER LOOP STE 160
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City | KILLEEN
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State | TX
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Zip | 76549-6814
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Country | US
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Telephone | 254-699-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WOLF RANCH PKWY APT 3213
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City | GEORGETOWN
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State | TX
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Zip | 78628-7289
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Country | US
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Telephone | 502-999-6322
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35519
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019032826
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License Number State | IL
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