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General NPI Number Information
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NPI Number | 1730972332
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Entity Type | Organization
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Legal Business Name | JASVINDER BADWALZ DMD PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 5500 DONIPHAN DR STE G
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City | EL PASO
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State | TX
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Zip | 79932-1455
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Country | US
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Telephone | 915-300-0432
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 DONIPHAN DR STE G
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City | EL PASO
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State | TX
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Zip | 79932-1455
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Country | US
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Telephone | 915-300-0432
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | JASVINDER BADWALZ
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Credential | DMD
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Telephone | 916-747-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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