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General NPI Number Information
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NPI Number | 1457720591
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Entity Type | Individual
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Provider Name | DR. VANI KOHLI
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Gender | Female
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 444 N YORK RD
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City | HATBORO
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State | PA
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Zip | 19040-2102
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Country | US
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Telephone | 215-675-4536
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Fax |
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Provider Business Mailing Address
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Address Line | 4913 OXFORD CT
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City | BENSALEM
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State | PA
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Zip | 19020-1758
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Country | US
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Telephone | 267-476-1969
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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 | DS 040617
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License Number State | PA
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