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General NPI Number Information
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NPI Number | 1508182312
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Entity Type | Organization
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Legal Business Name | AMARDEEP KHARA, DMD, PA
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 1830 GARNER STATION BOULEVARD
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City | RALEIGH
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State | NC
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Zip | 27603-3643
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Country | US
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Telephone | 919-714-7570
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Fax | 919-714-7477
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Provider Business Mailing Address
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Address Line | 1830 GARNER STATION BOULEVARD
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City | RALEIGH
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State | NC
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Zip | 27603-3643
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Country | US
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Telephone | 919-714-7570
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Fax | 919-714-7477
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TONY A KHARA
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Credential | DMD
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Telephone | 919-714-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8096
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License Number State | NC
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