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General NPI Number Information
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NPI Number | 1346116084
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Entity Type | Organization
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Legal Business Name | NIKHAL SHARMA AND MAHBUBUR RAHMAN DENTAL PLLC
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 118 S MAIN ST
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City | CANASTOTA
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State | NY
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Zip | 13032-1234
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Country | US
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Telephone | 315-679-9287
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Fax |
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Provider Business Mailing Address
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Address Line | 118 S MAIN ST
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City | CANASTOTA
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State | NY
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Zip | 13032-1234
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Country | US
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Telephone | 315-679-9287
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MAHBUBUR RAHMN
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Credential | DDS
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Telephone | 646-229-3576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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