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1710081211 NPI number — PURVI TEJANI PANDYA DDS

NPI Number: 1710081211
Health Care Provider/Practitioner: PURVI TEJANI PANDYA DDS

Information about “1710081211” NPI (PURVI TEJANI PANDYA DDS) exists in 1710081211 in HTML format HTML  |  1710081211 in plain Text format TXT  |  1710081211 in PDF (Portable Document Format) PDF  |  1710081211 in an XML format XML  formats.

NPI Number : 1710081211 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710081211",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PANDYA",
    "FirstName": "PURVI",
    "MiddleName": "TEJANI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10721 RESEARCH BLVD",
    "SecondLineMailingAddress": "SUITE B180",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78759-5694",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-358-4979",
    "MailingAddressFaxNumber": "512-233-5112",
    "FirstLinePracticeLocationAddress": "10721 RESEARCH BLVD",
    "SecondLinePracticeLocationAddress": "SUITE B180",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78759-5694",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-358-4979",
    "PracticeLocationAddressFaxNumber": "512-233-5112",
    "EnumerationDate": "09/13/2006",
    "LastUpdateDate": "10/22/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "21003",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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