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General NPI Number Information
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NPI Number | 1396056008
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Entity Type | Organization
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Legal Business Name | VIKAS GOEL, DMD PLLC
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 4 CHENANGO ST
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City | CAZENOVIA
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State | NY
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Zip | 13035-1400
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Country | US
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Telephone | 315-655-5885
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Fax | 866-591-3451
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Provider Business Mailing Address
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Address Line | 132 ALBANY ST STE M3
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City | CAZENOVIA
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State | NY
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Zip | 13035-1231
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Country | US
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Telephone | 315-655-5885
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIKAS GOEL
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Credential | DMD
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Telephone | 315-655-5885
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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 | 034303
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057920
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 053611
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License Number State | NY
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