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General NPI Number Information
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NPI Number | 1396308177
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Entity Type | Individual
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Provider Name | MEGHANA LANKA
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 280 LEGACY DR STE 105
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City | PLANO
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State | TX
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Zip | 75023-2314
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Country | US
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Telephone | 469-626-0131
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Fax |
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Provider Business Mailing Address
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Address Line | 11248 JAMESTOWN RD
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City | DALLAS
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State | TX
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Zip | 75230-3456
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Country | US
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Telephone | 469-500-6666
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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 | 36229
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License Number State | TX
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