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General NPI Number Information
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NPI Number | 1750151270
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Entity Type | Individual
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Provider Name | JANKI PINANG GANDHI-BALSARA RDH
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1240 UPPER HEMBREE RD STE C
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City | ROSWELL
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State | GA
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Zip | 30076-0914
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Country | US
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Telephone | 470-508-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 BLOSSOM HILL DR
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City | ROSWELL
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State | GA
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Zip | 30076-4255
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Country | US
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Telephone | 862-264-9846
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH011947
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License Number State | GA
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