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General NPI Number Information
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NPI Number | 1124689765
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Entity Type | Individual
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Provider Name | KARAN HEMANG OZA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2019
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 1301 BRIDGEPORT WAY STE 109
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City | SUFFOLK
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State | VA
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Zip | 23435-1960
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Country | US
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Telephone | 757-484-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 PINERIDGE DR
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5404
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Country | US
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Telephone | 757-362-4803
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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 | 019.032193
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License Number State | IL
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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 | 0401416674
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License Number State | VA
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