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General NPI Number Information
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NPI Number | 1124980305
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Entity Type | Organization
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Legal Business Name | PURIFY DENTAL OF DURANT PLLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 1220 N WASHINGTON AVE
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City | DURANT
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State | OK
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Zip | 74701-2120
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Country | US
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Telephone | 817-809-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 N WASHINGTON AVE
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City | DURANT
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State | OK
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Zip | 74701-2120
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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 | OWNER DENTIST
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Name | DR. GAURAV PURI
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Credential |
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Telephone | 325-725-0236
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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 |
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License Number State |
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