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General NPI Number Information
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NPI Number | 1356902712
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Entity Type | Individual
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Provider Name | POOJA KAPOOR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 4518 ROWLETT RD
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City | ROWLETT
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State | TX
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Zip | 75088-5081
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Country | US
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Telephone | 972-475-0301
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Fax |
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Provider Business Mailing Address
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Address Line | 354 MEADOWVIEW WAY
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City | LEWISVILLE
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State | TX
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Zip | 75056-6806
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Country | US
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Telephone | 972-365-5986
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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 | 35193
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 35193
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License Number State | TX
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