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General NPI Number Information
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NPI Number | 1750299186
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Entity Type | Individual
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Provider Name | DIYA JAYANTH KAMDAR BDS, CERT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 5402 FARM TO MARKET 2920, SUITE 5
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 832-447-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 MONTROSE BLVD APT 1916
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City | HOUSTON
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State | TX
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Zip | 77006-4362
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Country | US
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Telephone | 585-981-7321
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42916
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number | 42916
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License Number State | TX
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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 | 42916
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License Number State | TX
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