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General NPI Number Information
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NPI Number | 1669880407
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Entity Type | Individual
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Provider Name | DEEBA KASHTWARI BDS, MS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 1395 CENTER DR D8-6,
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City | GAINESVILLE
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State | FL
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Zip | 32610-3006
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Country | US
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Telephone | 352-263-6692
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Fax |
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Provider Business Mailing Address
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Address Line | 1395 CENTER DR D8-6, PO BOX 100414
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City | GAINESVILLE
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State | FL
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Zip | 32610-3006
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Country | US
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Telephone | 352-263-6692
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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 | 1223X0008X
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Taxonomy Name | Oral and Maxillofacial Radiology Dentistry
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License Number | 604
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License Number State | FL
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