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General NPI Number Information
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NPI Number | 1457958928
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Entity Type | Individual
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Provider Name | EESHA KATARYA DDS
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 18 3RD ST SW STE 300
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City | ROCHESTER
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State | MN
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Zip | 55902-3022
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Country | US
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Telephone | 507-258-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 5955 SHETLAND DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-3739
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Country | US
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Telephone | 507-250-6569
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D14865
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D010865
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License Number State | AZ
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