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General NPI Number Information
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NPI Number | 1679728208
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Entity Type | Individual
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Provider Name | ANISHA SHARMA PADMANABHAN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1026 E WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4914
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Country | US
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Telephone | 972-296-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 2341 STALLION ST
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City | CARROLLTON
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State | TX
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Zip | 75010-4973
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Country | US
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Telephone | 516-902-4941
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 055131
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1855840
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License Number State | MA
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Taxonomy #3
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 28713
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License Number State | TX
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