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General NPI Number Information
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NPI Number | 1215735006
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Entity Type | Organization
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Legal Business Name | HAUS OF DENTISTRY, PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 835 HANOVER ST STE 204
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City | MANCHESTER
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State | NH
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Zip | 03104-5401
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Country | US
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Telephone | 603-703-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CRICKET RIDGE DR
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City | WINDHAM
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State | NH
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Zip | 03087-1599
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Country | US
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Telephone | 315-200-5356
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST, OWNER
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Name | DR. SHRUTI APTE
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Credential | DMD
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Telephone | 315-200-5356
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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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