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General NPI Number Information
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NPI Number | 1497314454
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE TALEGAONKAR DMD, MD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1880 W OAK PKWY STE 111
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City | MARIETTA
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State | GA
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Zip | 30062-2274
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Country | US
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Telephone | 678-905-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 1880 W OAK PKWY STE 111
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City | MARIETTA
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State | GA
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Zip | 30062-2274
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Country | US
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Telephone | 678-905-9066
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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 | 0401419350
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 0438000534
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DN124034
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DRPM2060
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License Number State | FL
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