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General NPI Number Information
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NPI Number | 1609885938
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Entity Type | Organization
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Legal Business Name | KRISHNA & V.R., P.C.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 8929 S MEMORIAL DR SUITE # 290
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City | TULSA
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State | OK
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Zip | 74133-4330
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Country | US
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Telephone | 918-254-0135
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Fax | 918-254-5116
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Provider Business Mailing Address
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Address Line | 8929 S MEMORIAL DR SUITE # 290
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City | TULSA
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State | OK
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Zip | 74133-4330
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Country | US
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Telephone | 918-254-0135
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Fax | 918-254-5116
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. PRAGNA HEMANT SUTHAR
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Credential | D.D.S.
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Telephone | 918-254-0135
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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 | 5341
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License Number State | OK
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