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General NPI Number Information
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NPI Number | 1134012941
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Entity Type | Organization
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Legal Business Name | NATHANI DDS & ASSOCIATES ROLESVILLE
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 811 S. MAIN STREET STE 102
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City | ROLESVILLE
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State | NC
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Zip | 27571
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Country | US
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Telephone | 972-361-0600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840925
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City | DALLAS
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State | TX
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Zip | 75284-0925
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Country | US
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Telephone | 972-331-8079
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | CAROL CANAVA
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Credential |
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Telephone | 972-333-1582
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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 |
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License Number State |
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