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General NPI Number Information
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NPI Number | 1649828013
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Entity Type | Individual
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Provider Name | VINAYA KUNDAPUR BDS,MDS
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 7703 FLOYD CURL DR # 4.430T
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone | 210-550-9122
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Fax |
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Provider Business Mailing Address
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Address Line | 8727 FREDERICKSBURG RD APT 1008
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City | SAN ANTONIO
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State | TX
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Zip | 78240-4319
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Country | US
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Telephone | 210-550-9122
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 30555
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License Number State | IA
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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 | 38265
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License Number State | TX
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