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General NPI Number Information
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NPI Number | 1265867477
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Entity Type | Organization
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Legal Business Name | PRASHANTHI VADHI DDS, INC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 09/06/2013
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Provider Practice Location Address
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Address Line | 6100 E MAIN ST SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43213-3399
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Country | US
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Telephone | 614-864-6000
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Fax | 614-864-9250
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Provider Business Mailing Address
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Address Line | 6100 E MAIN ST SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43213-3399
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Country | US
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Telephone | 614-864-6000
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Fax | 614-864-9250
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHERI WACKERLY
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Credential |
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Telephone | 614-864-6000
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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 | 3021980
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License Number State | OH
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