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General NPI Number Information
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NPI Number | 1376958876
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Entity Type | Individual
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Provider Name | ANKUR TALATI D.M.D
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Gender | Male
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 36 PADANARAM RD
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City | DANBURY
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State | CT
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Zip | 06811-4824
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Country | US
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Telephone | 203-313-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 11 DOGWOOD DR
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City | DANBURY
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State | CT
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Zip | 06811-4530
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Country | US
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Telephone |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 058328
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License Number State | NY
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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 | 2.011463
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License Number State | CT
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