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General NPI Number Information
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NPI Number | 1710805189
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Entity Type | Individual
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Provider Name | MANSI VERMA DMD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 604 E 15TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-1439
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Country | US
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Telephone | 229-273-5753
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Fax |
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Provider Business Mailing Address
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Address Line | 1072 HEATHCHASE DR
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City | SUWANEE
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State | GA
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Zip | 30024-3623
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Country | US
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Telephone | 404-428-8596
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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 | DN124227
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License Number State | GA
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