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General NPI Number Information
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NPI Number | 1285489344
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Entity Type | Organization
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Legal Business Name | DR DASARI DMD PLLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 137 GRAND HILL PL
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4415
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Country | US
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Telephone | 862-452-0916
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Fax |
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Provider Business Mailing Address
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Address Line | 135 GRAND HILL PL
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4958
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Country | US
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Telephone | 862-452-0916
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BHARGAVI DASARI
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Credential | DMD
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Telephone | 862-452-0916
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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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