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General NPI Number Information
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NPI Number | 1538920731
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Entity Type | Organization
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Legal Business Name | PERITIA DENTAL, MEERA THUNGA DDS, LLC
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Dates
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Enumeration Date | 01/16/2024
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 205 DAYTON STREET
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City | HAMILTON
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State | OH
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Zip | 45011
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Country | US
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Telephone | 513-805-4000
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Fax | 513-805-4017
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Provider Business Mailing Address
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Address Line | 3282 ULTRA CT
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City | MASON
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State | OH
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Zip | 45040-4791
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Country | US
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Telephone | 513-967-8422
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MEERA THUNGA
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Credential | DDS
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Telephone | 513-967-8422
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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 |
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License Number State |
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