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General NPI Number Information
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NPI Number | 1235551557
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Entity Type | Individual
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Provider Name | PRAGTIPAL SAINI
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Gender | Male
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 151 SULLYS TRL SUITE 1
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City | PITTSFORD
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State | NY
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Zip | 14534-4562
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Country | US
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Telephone | 585-385-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 5 FALLEN OAK COURT
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City | BRAMPTON
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State | ONTARIO
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Zip | L6Y3S1
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Country | CA
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Telephone |
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 057082
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License Number State | NY
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