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General NPI Number Information
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NPI Number | 1427559491
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Entity Type | Individual
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Provider Name | VRINDA NANAVATI
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 76 BELLEVUE AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07043-2430
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Country | US
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Telephone | 973-744-3127
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Fax |
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Provider Business Mailing Address
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Address Line | 8125 RIVER RD APT 5C
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-7202
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Country | US
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Telephone | 585-200-6874
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02893500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1858735
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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