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General NPI Number Information
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NPI Number | 1124911847
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Entity Type | Organization
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Legal Business Name | PARIMALA PRAHALAD D.M.D., P.L.L.C.
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 1911 FALLS VALLEY DR STE 107
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City | RALEIGH
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State | NC
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Zip | 27615-2496
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Country | US
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Telephone | 919-656-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 412 PARKMAN GRANT DR
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City | CARY
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State | NC
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Zip | 27519-6133
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Country | US
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Telephone | 919-656-0146
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Fax | 888-377-6361
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PARIMALA PRAHALAD
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Credential | DMD
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Telephone | 919-656-0146
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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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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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