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General NPI Number Information
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NPI Number | 1134407604
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Entity Type | Individual
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Provider Name | ASHADEVI KOSINAPALLI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1530 S INDEPENDENCE PKWY STE 150
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City | MCKINNEY
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State | TX
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Zip | 75072-6295
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Country | US
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Telephone | 469-381-9397
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Fax |
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Provider Business Mailing Address
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Address Line | 12547 HONEYFLOWER DR
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City | FRISCO
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State | TX
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Zip | 75035-0712
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Country | US
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Telephone | 313-595-0949
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901020469
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License Number State | MI
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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 | 019028831
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28835
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License Number State | TX
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