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General NPI Number Information
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NPI Number | 1629483425
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Entity Type | Individual
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Provider Name | BHAVNA T PAHEL DDS, PHD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 810 E MAIN ST STE G
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City | LAURENS
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State | SC
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Zip | 29360-3547
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Country | US
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Telephone | 864-715-3200
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Fax | 864-715-3201
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Provider Business Mailing Address
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Address Line | 810 E MAIN ST STE G
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City | LAURENS
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State | SC
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Zip | 29360-3547
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Country | US
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Telephone | 864-715-3200
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Fax | 864-715-3201
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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 | 9404
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9806
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1009
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License Number State | SC
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