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General NPI Number Information
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NPI Number | 1295597318
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Entity Type | Organization
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Legal Business Name | SAUMYA PRAJAPATI PLLC
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 205 W FAIRHAVEN AVE STE C
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City | BURLINGTON
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State | WA
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Zip | 98233-1062
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Country | US
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Telephone | 360-757-0201
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Fax | 360-757-1990
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Provider Business Mailing Address
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Address Line | 205 W FAIRHAVEN AVE STE C
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City | BURLINGTON
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State | WA
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Zip | 98233-1062
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Country | US
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Telephone | 360-757-0201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAUMYA PRAJAPATI
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Credential |
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Telephone | 360-757-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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