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General NPI Number Information
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NPI Number | 1104639525
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Entity Type | Individual
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Provider Name | VARUN NISCHAL DMD
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Gender | Male
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 333 WINCHESTER ST
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City | KEENE
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State | NH
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Zip | 03431-3940
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Country | US
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Telephone | 603-522-7821
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Fax |
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Provider Business Mailing Address
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Address Line | 173 MONADNOCK HWY UNIT 218
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City | SWANZEY
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State | NH
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Zip | 03446-2149
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Country | US
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Telephone | 781-647-0772
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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 | 05279
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License Number State | NH
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