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General NPI Number Information
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NPI Number | 1194337659
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Entity Type | Individual
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Provider Name | ABHISHEK JAHAGIRDAR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 5709 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79416-4241
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Country | US
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Telephone | 806-507-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 N I 35 STE 205
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City | DENTON
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State | TX
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Zip | 76207-1438
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Country | US
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Telephone | 940-220-7833
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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 | 105276
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 36982
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License Number State | TX
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