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General NPI Number Information
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NPI Number | 1538735584
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Entity Type | Individual
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Provider Name | ROOSHIKA DALAYA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 21 BAY STATE RD
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City | CHICOPEE
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State | MA
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Zip | 01020-1521
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Country | US
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Telephone | 413-625-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 455 S MOUNTAIN RD # 1
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City | NEW CITY
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State | NY
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Zip | 10956-5731
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Country | US
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Telephone | 516-984-5886
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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 | DN10000142
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License Number State | MA
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