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General NPI Number Information
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NPI Number | 1740629088
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Entity Type | Individual
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Provider Name | JAISRI R THOPPAY DDS
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 12/30/2019
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Provider Practice Location Address
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Address Line | 7151 UNIVERSITY BLVD UNIT 110
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City | WINTER PARK
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State | FL
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Zip | 32792-6724
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Country | US
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Telephone | 407-664-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 7151 UNIVERSITY BLVD UNIT 110
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City | WINTER PARK
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State | FL
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Zip | 32792-6724
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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 | 125Q00000X
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Taxonomy Name | Oral Medicine Dentistry
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License Number | 0411000055
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN24372
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401416527
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0411000055
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | DN24372
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 0401416527
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 0411000055
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 125Q00000X
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Taxonomy Name | Oral Medicine Dentistry
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License Number | DN24372
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 125Q00000X
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Taxonomy Name | Oral Medicine Dentistry
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License Number | 0401416527
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License Number State | VA
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