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General NPI Number Information
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NPI Number | 1699124610
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Entity Type | Individual
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Provider Name | DEEPTI ANNE REJI D.M.D, M.P.H
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Gender | Female
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 998 RIVERWALK PKWY STE 203
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City | ROCK HILL
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State | SC
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Zip | 29730-0117
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Country | US
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Telephone | 803-639-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 998 RIVERWALK PKWY STE 203
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City | ROCK HILL
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State | SC
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Zip | 29730-0117
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Country | US
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Telephone | 803-639-7676
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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 | DN1857268
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9834
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License Number State | SC
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