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General NPI Number Information
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NPI Number | 1366197006
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Entity Type | Individual
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Provider Name | RANU BHANDARI DDS
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 14081 MUNDY DR
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City | FISHERS
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State | IN
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Zip | 46038-8812
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Country | US
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Telephone | 317-792-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 13335 FIELDING WAY
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City | FISHERS
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State | IN
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Zip | 46037-4612
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Country | US
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Telephone | 720-725-3552
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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 | 12013737A
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License Number State | IN
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