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General NPI Number Information
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NPI Number | 1578706495
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Entity Type | Individual
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Provider Name | VRINDA DHRUVE DEVANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 208 MARATHON LN
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City | CANDLER
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State | NC
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Zip | 28715-0716
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Country | US
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Telephone | 804-651-6978
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Fax | 505-888-1398
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Provider Business Mailing Address
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Address Line | 208 MARATHON LN
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City | CANDLER
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State | NC
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Zip | 28715-0716
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Country | US
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Telephone | 804-651-6978
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | P5170
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD2013-0514
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2022-00819
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License Number State | NC
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