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General NPI Number Information
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NPI Number | 1235708280
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Entity Type | Individual
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Provider Name | LAXMI PRANATI AKILLA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 43 E NORTH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4027
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Country | US
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Telephone | 614-885-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 230 BLACKBERRY LN N
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City | MARYSVILLE
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State | OH
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Zip | 43040-7190
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Country | US
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Telephone | 313-603-7520
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61900
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.027713
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License Number State | OH
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