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General NPI Number Information
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NPI Number | 1144769407
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Entity Type | Organization
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Legal Business Name | ADHVIKA LAKSHMI PLLC
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 12 PARMENTER RD B-2
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City | LONDONDERRY
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State | NH
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Zip | 03053-3280
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Country | US
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Telephone | 978-821-3563
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Fax |
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Provider Business Mailing Address
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Address Line | 4 EASTLEIGH LN
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City | NATICK
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State | MA
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Zip | 01760-4275
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Country | US
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Telephone | 978-821-3563
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. BRINDHA NATARAJAN
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Credential | DMD
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Telephone | 978-821-3563
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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 | 04287
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License Number State | NH
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