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General NPI Number Information
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NPI Number | 1356203756
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Entity Type | Individual
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Provider Name | PRAGYAN MOHANTY DDS
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Gender | Female
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 401 E SCHOOL AVE
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City | VISALIA
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State | CA
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Zip | 93291-5032
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Country | US
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Telephone | 877-960-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 5 KENSINGTON LN UNIT 201
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City | ROCKY HILL
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State | CT
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Zip | 06067-3635
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Country | US
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Telephone | 602-596-7226
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS112287
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License Number State | CA
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