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General NPI Number Information
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NPI Number | 1447133301
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Entity Type | Individual
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Provider Name | MARIAM KALDAS DDS
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 11135 PENDLETON PIKE STE 900
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-2872
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Country | US
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Telephone | 317-826-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 588 WATERFORD CIR E
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-7207
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Country | US
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Telephone | 478-733-8557
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12014848A
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License Number State | IN
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