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General NPI Number Information
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NPI Number | 1730609421
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Entity Type | Individual
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Provider Name | MALLIKA PRAKASH THAPAR
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 12019 TERRAZA COVE LN
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City | HOUSTON
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State | TX
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Zip | 77041-6231
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Country | US
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Telephone | 512-585-0863
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Fax |
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Provider Business Mailing Address
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Address Line | 12019 TERRAZA COVE LN
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City | HOUSTON
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State | TX
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Zip | 77041-6231
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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 |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 060873
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 38652
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License Number State | TX
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