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General NPI Number Information
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NPI Number | 1528426160
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Entity Type | Individual
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Provider Name | ROYA MAKHANI DDS
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Gender | Female
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 11449 SUTPHIN BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-1022
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Country | US
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Telephone | 917-842-7335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 630273
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City | LITTLE NECK
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State | NY
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Zip | 11363-0273
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Country | US
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Telephone | 917-842-7335
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 060048
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License Number State | NY
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