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General NPI Number Information
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NPI Number | 1649455361
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Entity Type | Individual
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Provider Name | BANGALORE T SHARAT C REDDY DDS
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Gender | Male
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 3103 76TH ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1822
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Country | US
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Telephone | 718-899-6696
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 76TH ST
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City | EAST ELMHURST
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State | NY
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Zip | 11370-1822
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Country | US
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Telephone | 718-899-6696
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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 | 042290
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License Number State | NY
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