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General NPI Number Information
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NPI Number | 1598448920
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Entity Type | Individual
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Provider Name | SUNANDHAA NARASIMHAN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 480 ADAMS ST STE 206
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City | MILTON
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State | MA
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Zip | 02186-4914
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Country | US
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Telephone | 617-696-5257
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Fax |
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Provider Business Mailing Address
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Address Line | 320 W 2ND ST APT 411
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City | BOSTON
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State | MA
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Zip | 02127-1310
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Country | US
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Telephone | 617-696-5257
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1000335
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License Number State | MA
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