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General NPI Number Information
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NPI Number | 1154192300
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Entity Type | Individual
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Provider Name | ARCHANA (GAURI) BADARKHE
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Gender | Female
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1500 PARK AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63104-3024
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Country | US
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Telephone | 314-833-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 STRASSNER DR UNIT 3410
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City | SAINT LOUIS
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State | MO
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Zip | 63144-1888
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Country | US
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Telephone | 785-292-9495
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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 | 2025015892
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License Number State | MO
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