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General NPI Number Information
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NPI Number | 1518885805
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Entity Type | Individual
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Provider Name | AGNIL T VENAD DMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 507 W STAN SCHLUETER LOOP STE 400
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City | KILLEEN
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State | TX
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Zip | 76542-6877
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Country | US
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Telephone | 254-870-9209
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 STATE HIGHWAY 195 APT 9206 APT 9206
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City | GEORGETOWN
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State | TX
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Zip | 78633-1829
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Country | US
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Telephone | 813-426-4924
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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 | 42434
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License Number State | TX
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