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General NPI Number Information
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NPI Number | 1447871082
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Entity Type | Organization
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Legal Business Name | ARVIND KENNETH VAKANI DMD MS PA
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 1963 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-3915
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Country | US
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Telephone | 772-287-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 1963 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-3915
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Country | US
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Telephone | 772-287-8415
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARVIND KENNETH VAKANI
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Credential | DMD MS
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Telephone | 772-285-4722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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