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General NPI Number Information
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NPI Number | 1518851922
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Entity Type | Individual
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Provider Name | PRANJALI SHREYAS RANADIVE DMD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 233 S 3RD ST
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City | LEHIGHTON
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State | PA
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Zip | 18235-2109
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Country | US
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Telephone | 610-377-5948
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Fax |
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Provider Business Mailing Address
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Address Line | 427 WELSFORD RD
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-4017
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Country | US
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Telephone | 443-202-9759
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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 | DS045152
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License Number State | PA
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