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General NPI Number Information
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NPI Number | 1588325682
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Entity Type | Organization
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Legal Business Name | MY HAMPTON DENTAL PLLC
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Dates
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Enumeration Date | 01/01/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 516 S HAMPTON RD # 100
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City | DALLAS
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State | TX
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Zip | 75208-5621
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Country | US
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Telephone | 214-956-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 516 S HAMPTON RD # 100
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City | DALLAS
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State | TX
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Zip | 75208-5621
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Country | US
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Telephone | 214-956-4100
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LALIT BHARDWAJ
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Credential | DDS
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Telephone | 214-956-4100
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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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