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NPI 1265665509

NPI 1265665509 : PRANATHI R PAPIAHGARI DDS : PEARLAND, TX

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General NPI Number Information
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    NPI Number           |    1265665509
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    Entity Type          |    Individual 
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    Provider Name        |    PRANATHI R PAPIAHGARI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/03/2009
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    Last Update Date     |    09/03/2009
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Provider Practice Location Address
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    Address Line         |    3300 E WALNUT ST 
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    City                 |    PEARLAND
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    State                |    TX
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    Zip                  |    77581-4309
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    Country              |    US
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    Telephone            |    281-485-7005
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    Fax                  |    281-485-7196
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Provider Business Mailing Address
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    Address Line         |    PO BOX 130970 
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    City                 |    ROSEVILLE
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    State                |    MN
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    Zip                  |    55113-0023
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    Country              |    US
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    Telephone            |    512-371-1222
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    Fax                  |    512-371-3914
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    24931
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    License Number State |    TX
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