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General NPI Number Information
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NPI Number | 1437968617
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Entity Type | Organization
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Legal Business Name | AMANI PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2875 W WHITESTONE BLVD STE 120
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City | CEDAR PARK
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State | TX
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Zip | 78613-8004
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Country | US
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Telephone | 737-363-4200
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Fax | 737-363-4201
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Provider Business Mailing Address
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Address Line | 2875 W WHITESTONE BLVD STE 120
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City | CEDAR PARK
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State | TX
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Zip | 78613-8004
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Country | US
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Telephone | 737-363-4200
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Fax | 737-363-4201
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY MACHANI
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Credential | DMD
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Telephone | 737-363-4200
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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 |
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License Number State |
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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 |
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License Number State |
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