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General NPI Number Information
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NPI Number | 1588341028
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Entity Type | Individual
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Provider Name | AYUSHI DALAL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 9315 SPENCER HWY STE B
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City | LA PORTE
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State | TX
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Zip | 77571-3968
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Country | US
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Telephone | 281-394-1782
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Fax |
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Provider Business Mailing Address
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Address Line | 839 WALBROOK DR
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City | HOUSTON
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State | TX
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Zip | 77062-4029
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Country | US
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Telephone | 832-600-9024
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 39482
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License Number State | TX
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