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General NPI Number Information
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NPI Number | 1205362928
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Entity Type | Organization
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Legal Business Name | HARICHANDANA VEMIREDDY DMD PLLC
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1000 WEST ROSEMEADE PARKWAY STE 100
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City | CARROLTON
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State | TX
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Zip | 75007
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Country | US
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Telephone | 972-394-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WEST ROSEMEADE PARKWAY STE 100
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City | CARROLLTON
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State | TX
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Zip | 75007
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Country | US
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Telephone | 972-394-5200
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | HARICHANDANA VEMIREDDY
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Credential | DMD
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Telephone | 617-416-7136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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