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General NPI Number Information
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NPI Number | 1689160509
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Entity Type | Individual
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Provider Name | VARSHA AGNIHOTRI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 919 2ND AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10017-1582
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Country | US
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Telephone | 212-949-6105
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Fax |
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Provider Business Mailing Address
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Address Line | 1399 PARK AVE APT 10B
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City | NEW YORK
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State | NY
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Zip | 10029-4571
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Country | US
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Telephone | 908-227-0999
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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 | 22DI02721000
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License Number State | NJ
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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 | 061482
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License Number State | NY
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