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General NPI Number Information
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NPI Number | 1245608546
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Entity Type | Individual
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Provider Name | BHAVIN TRIVEDI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32214-0001
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Country | US
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Telephone | 904-542-7300
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32214-0001
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Country | US
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 32814
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0401417810
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN30921
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License Number State | FL
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