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General NPI Number Information
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NPI Number | 1649895541
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Entity Type | Individual
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Provider Name | DEVANSHI GAJJAR DDS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 265 BALTIMORE BLVD STE 4
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City | WESTMINSTER
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State | MD
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Zip | 21157-6990
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Country | US
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Telephone | 410-861-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 265 BALTIMORE BLVD STE 4
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City | WESTMINSTER
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State | MD
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Zip | 21157-6990
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12013492A
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License Number State | IN
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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 | 18815
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License Number State | MD
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