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General NPI Number Information
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NPI Number | 1194039362
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Entity Type | Individual
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Provider Name | LOKESH C. RAO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 1925 CENTRAL PARK AVE 2ND FLOOR
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City | YONKERS
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State | NY
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Zip | 10710-2949
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Country | US
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Telephone | 914-961-1700
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Fax | 914-961-1799
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Provider Business Mailing Address
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Address Line | 171 E 89TH ST 7H
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City | NEW YORK
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State | NY
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Zip | 10128-2381
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Country | US
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Telephone | 646-530-4722
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Fax | 914-961-1799
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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 | 054821
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License Number State | NY
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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 | 054821
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License Number State | NY
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