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General NPI Number Information
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NPI Number | 1487446068
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Entity Type | Organization
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Legal Business Name | KESHAVAM DENTAL
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1330 W CHESTER PIKE
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City | HAVERTOWN
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State | PA
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Zip | 19083-3246
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Country | US
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Telephone | 610-989-7145
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Fax |
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Provider Business Mailing Address
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Address Line | 271 FAIRFIELD CIR W
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City | ROYERSFORD
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State | PA
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Zip | 19468-2859
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Country | US
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Telephone | 630-328-3544
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRUPA PARIKH
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Credential | DDS
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Telephone | 630-328-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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