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General NPI Number Information
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NPI Number | 1255767935
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Entity Type | Individual
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Provider Name | NIKITA BHARAT RUPAREL MS, DDS, PHD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR DEPARTMENT OF ENDODONTICS
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-567-3396
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Fax |
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Provider Business Mailing Address
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Address Line | 2703 CALEDONIAN CT # 6301
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2894
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Country | US
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Telephone | 210-421-8098
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 30552
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 62829
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License Number State | CA
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