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General NPI Number Information
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NPI Number | 1326423989
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Entity Type | Organization
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Legal Business Name | ARVIND SHANADI DMD PLLC
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 5510 ABRAMS RD SUITE 105
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City | DALLAS
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State | TX
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Zip | 75214-2000
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Country | US
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Telephone | 352-870-7920
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Fax | 817-283-8621
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Provider Business Mailing Address
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Address Line | 5205 CAPITOL AVE UNIT 3
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City | DALLAS
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State | TX
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Zip | 75206-8380
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Country | US
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Telephone | 352-870-7920
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Fax | 817-283-8621
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARVIND SHANADI
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Credential | DMD
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Telephone | 352-870-7920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 23637
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License Number State | TX
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