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General NPI Number Information
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NPI Number | 1134007628
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Entity Type | Organization
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Legal Business Name | MEGHA AGRAWAL DDS PLLC
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 136 FAIRVIEW RD STE 100
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City | MOORESVILLE
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State | NC
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Zip | 28117-9518
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Country | US
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Telephone | 704-662-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 2294 RED BIRCH WAY
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City | CONCORD
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State | NC
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Zip | 28027
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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
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Name | DR. MEGHA AGRAWAL
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Credential | DDS
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Telephone | 425-229-8039
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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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