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General NPI Number Information
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NPI Number | 1578870374
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Entity Type | Organization
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Legal Business Name | KROTHAPALLI FAMILY DENTAL LLC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 493 AMHERST ST UNIT#1
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City | NASHUA
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State | NH
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Zip | 03063-1270
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Country | US
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Telephone | 603-883-2232
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Fax |
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Provider Business Mailing Address
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Address Line | 493 AMHERST ST UNIT#1
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City | NASHUA
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State | NH
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Zip | 03063-1270
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Country | US
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Telephone | 603-883-2232
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NANARAO KROTHAPALLI
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Credential | D.M.D
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Telephone | 603-883-2232
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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 |
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License Number State |
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