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General NPI Number Information
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NPI Number | 1346795317
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Entity Type | Individual
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Provider Name | JALPA BIRDI DMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2016
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1867 JONESBORO RD STE 61867
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City | MCDONOUGH
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State | GA
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Zip | 30253-6099
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Country | US
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Telephone | 678-432-0209
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 NE 11TH ST APT B210
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City | BELLEVUE
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State | WA
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Zip | 98004-4562
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Country | US
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Telephone | 678-485-7077
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DE60727737
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN015167
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License Number State | GA
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