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General NPI Number Information
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NPI Number | 1730442138
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Entity Type | Individual
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Provider Name | NINA MAHESHWARI THOMAS D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2012
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 10207 CERNY ST SUITE 106
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City | RALEIGH
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State | NC
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Zip | 27617-7878
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Country | US
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Telephone | 919-336-2981
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SAINT ALBANS DR APT. 510
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City | RALEIGH
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State | NC
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Zip | 27609-6399
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Country | US
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Telephone | 704-408-5590
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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 | 9329
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License Number State | NC
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