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General NPI Number Information
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NPI Number | 1497689731
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Entity Type | Individual
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Provider Name | PRIYANKA PUGAZHENTHI
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 2210 BOILING SPRINGS RD
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-5302
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Country | US
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Telephone | 864-661-6454
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Fax |
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Provider Business Mailing Address
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Address Line | 905 FRESH POND DR APT 6-307
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City | WELLFORD
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State | SC
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Zip | 29385-8327
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Country | US
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Telephone | 864-661-6454
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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 | DGD.11492.GD
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License Number State | SC
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