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General NPI Number Information
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NPI Number | 1255746814
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Entity Type | Individual
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Provider Name | RAJESH HANSRAJBHAI KASWALA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 800 MAIN ST STE 102
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City | HELLERTOWN
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State | PA
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Zip | 18055-1535
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Country | US
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Telephone | 732-429-6911
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Fax |
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Provider Business Mailing Address
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Address Line | 6722 ARBORDEAU LN
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City | MACUNGIE
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State | PA
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Zip | 18062-8794
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Country | US
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Telephone | 732-734-1491
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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 | DN1856975
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License Number State | MA
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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 | 22DI02572200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30694
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS040166
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License Number State | PA
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