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General NPI Number Information
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NPI Number | 1700348489
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Entity Type | Organization
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Legal Business Name | DEEPTI KALRA,DMD,PLLC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 3 TRIANGLE ST
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City | WORCESTER
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State | MA
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Zip | 01606-3017
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Country | US
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Telephone | 508-853-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WHITE FLOWER LN
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City | NORTH GRAFTON
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State | MA
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Zip | 01536-1297
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Country | US
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Telephone | 781-835-7330
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DEEPTI KALRA
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Credential |
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Telephone | 781-835-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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