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General NPI Number Information
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NPI Number | 1225573678
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Entity Type | Individual
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Provider Name | SHANA VOHRA D.D.S., M.S.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1467 W ELLIOT RD STE 101
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City | GILBERT
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State | AZ
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Zip | 85233-5167
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Country | US
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Telephone | 480-926-4498
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Fax |
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Provider Business Mailing Address
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Address Line | 3681 E BOOT TRACK TRL
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City | GILBERT
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State | AZ
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Zip | 85296-0695
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Country | US
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Telephone | 209-324-9372
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9581
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License Number State | AZ
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