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General NPI Number Information
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NPI Number | 1730060054
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Entity Type | Organization
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Legal Business Name | ENAMEL DENTISTRY EASTON PARK, PLLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7101 E WILLIAM CANNON DR UNIT 430
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City | AUSTIN
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State | TX
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Zip | 78744-2247
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Country | US
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Telephone | 512-489-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 E WILLIAM CANNON DR UNIT 430
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City | AUSTIN
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State | TX
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Zip | 78744-2247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARDIK CHODAVADIA
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Credential | DDS
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Telephone | 817-988-6484
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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 |
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License Number State |
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