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General NPI Number Information
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NPI Number | 1346939907
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Entity Type | Individual
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Provider Name | DIPIKA GARG DMD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 11749 W LONE MOUNTAIN PKWY UNIT 100
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City | PEORIA
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State | AZ
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Zip | 85383-6801
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Country | US
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Telephone | 623-323-2320
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Fax |
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Provider Business Mailing Address
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Address Line | 11749 W LONE MOUNTAIN PKWY UNIT 100
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City | PEORIA
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State | AZ
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Zip | 85383-6801
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Country | US
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Telephone | 623-323-2320
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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 | D012423
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License Number State | AZ
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