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General NPI Number Information
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NPI Number | 1598379679
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Entity Type | Organization
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Legal Business Name | DR. MILAN DHANANI PC
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 1905 BEAVER RUIN RD STE 175B
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City | NORCROSS
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State | GA
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Zip | 30071-3837
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Country | US
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Telephone | 678-722-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 GREY MOSS CT
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City | DULUTH
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State | GA
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Zip | 30097-6209
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Country | US
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Telephone | 404-933-1754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MILAN DHANANI
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Credential |
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Telephone | 404-933-1754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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