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General NPI Number Information
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NPI Number | 1396213674
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Entity Type | Organization
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Legal Business Name | URVI RAVINDRAN DDS PLLC
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 6816 WHISPERING FALLS RUN APT 13
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City | RALEIGH
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State | NC
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Zip | 27613-2233
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Country | US
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Telephone | 312-286-0155
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Fax |
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Provider Business Mailing Address
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Address Line | 6816 WHISPERING FALLS RUN APT 13
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City | RALEIGH
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State | NC
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Zip | 27613-2233
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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 | GENERAL DENTIST
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Name | URVI RAVINDRAN
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Credential |
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Telephone | 312-286-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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