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General NPI Number Information
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NPI Number | 1548955883
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Entity Type | Organization
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Legal Business Name | AMIT KHANNA DMD LLC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 44210 AIRPORT VIEW DR
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City | HOLLYWOOD
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State | MD
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Zip | 20636-3159
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Country | US
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Telephone | 301-373-3230
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Fax | 301-373-3057
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Provider Business Mailing Address
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Address Line | 44210 AIRPORT VIEW DR
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City | HOLLYWOOD
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State | MD
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Zip | 20636-3159
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Country | US
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Telephone | 301-373-3230
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Fax | 301-373-3057
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Authorized Official
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Title or Position | DMD
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Name | AMIT KHANNA
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Credential |
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Telephone | 301-373-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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