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General NPI Number Information
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NPI Number | 1265250732
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Entity Type | Organization
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Legal Business Name | SHAKTI DENTAL ASSOCIATES
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 4424 FRIENDLY WAY SUITE 140
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543
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Country | US
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Telephone | 813-798-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 3466 GREAT BANYAN WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4141
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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 | OWNER
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Name | HETVI PATEL
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Credential | DDS
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Telephone | 302-766-7200
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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 |
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License Number State |
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