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General NPI Number Information
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NPI Number | 1487327730
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Entity Type | Individual
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Provider Name | HASINI NELAKURTHI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 206 NE 7TH AVE
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City | AMARILLO
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State | TX
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Zip | 79107-5214
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Country | US
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Telephone | 806-318-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 6781 DESEO
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City | IRVING
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State | TX
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Zip | 75039-3222
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Country | US
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Telephone | 469-426-5945
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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 | 37698
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License Number State | TX
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