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General NPI Number Information
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NPI Number | 1356564595
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Entity Type | Organization
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Legal Business Name | NOMITH RAMDEV DMD, MSD, PLLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 69 SILVER ST
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City | DOVER
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State | NH
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Zip | 03820-3921
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Country | US
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Telephone | 603-742-4123
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Fax |
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Provider Business Mailing Address
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Address Line | 69 SILVER ST
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City | DOVER
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State | NH
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Zip | 03820-3921
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Country | US
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Telephone | 603-742-4123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NOMITH THULA RAMDEV
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Credential | DMD, MSD
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Telephone | 603-742-4123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 3524
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License Number State | NH
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