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General NPI Number Information
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NPI Number | 1528315439
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Entity Type | Individual
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Provider Name | SNEHA BRAHMBHATT DDS
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Gender | Female
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 4417 SOUTH LANCASTER RD. STE 2275
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 469-620-7445
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Fax | 469-607-9229
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Provider Business Mailing Address
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Address Line | 4417 SOUTH LANCASTER RD. SUITE 2275
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City | DALLAS
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State | TX
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Zip | 75216
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Country | US
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Telephone | 469-620-7445
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Fax | 469-607-9229
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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 | 010823
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28769
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License Number State | TX
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