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General NPI Number Information
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NPI Number | 1598996852
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Entity Type | Individual
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Provider Name | RASHMI HEGDE DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 700 N TARRANT PKWY
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City | KELLER
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State | TX
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Zip | 76248-5693
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Country | US
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Telephone | 817-854-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 333 BEECHWOOD LN
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City | COPPELL
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State | TX
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Zip | 75019-5307
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Country | US
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Telephone | 205-383-9750
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 24820
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License Number State | TX
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