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General NPI Number Information
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NPI Number | 1245021591
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Entity Type | Individual
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Provider Name | ANJILA SHRESTHA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1792 IN-163
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City | CLINTON
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State | IN
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Zip | 47842
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Country | US
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Telephone | 765-832-7741
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Fax |
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Provider Business Mailing Address
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Address Line | 668 HERITAGE LN W
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City | TERRE HAUTE
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State | IN
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Zip | 47803-1383
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Country | US
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Telephone | 914-427-3279
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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 | 12014724A
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License Number State | IN
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