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General NPI Number Information
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NPI Number | 1508429002
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Entity Type | Individual
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Provider Name | ROSHNI VARIA DMD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 1521 N COCKRELL HILL RD
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City | DALLAS
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State | TX
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Zip | 75211
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Country | US
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Telephone | 214-295-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 1932 SMITH DR
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City | PLANO
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State | TX
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Zip | 75023-1772
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Country | US
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Telephone | 701-651-2244
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35383
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License Number State | TX
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