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General NPI Number Information
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NPI Number | 1508289448
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Entity Type | Organization
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Legal Business Name | ARUNA AVANTI DDS.,PA.
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 9191 R G SKINNER PKWY SUITE 301
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9655
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Country | US
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Telephone | 904-683-1065
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Fax | 904-683-1067
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Provider Business Mailing Address
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Address Line | 9191 R G SKINNER PKWY SUITE 301
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9655
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Country | US
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Telephone | 904-683-1065
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Fax | 904-683-1067
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ARUNA AVANTI
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Credential | DDS
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Telephone | 904-683-1065
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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 | DN17406
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License Number State | FL
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