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General NPI Number Information
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NPI Number | 1326861790
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Entity Type | Organization
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Legal Business Name | ANKITA JAIN DDS, PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1300 THORNTON ST STE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4654
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Country | US
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Telephone | 540-371-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 17115 BELLE ISLE DR
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City | DUMFRIES
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State | VA
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Zip | 22026-3004
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Country | US
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Telephone | 631-327-7323
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANKITA JAIN
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Credential | DDS
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Telephone | 631-327-7323
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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 |
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License Number State |
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