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General NPI Number Information
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NPI Number | 1497600811
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Entity Type | Organization
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Legal Business Name | WHITESTAR PC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 1507 W SOUTH ST
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City | LEBANON
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State | IN
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Zip | 46052
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Country | US
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Telephone | 317-719-7251
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 PALMETTO CIR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-8060
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Country | US
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Telephone | 317-719-7251
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. PRIYANKA HARDIK DHOLU
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Credential |
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Telephone | 317-719-7251
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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 |
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License Number State |
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