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General NPI Number Information
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NPI Number | 1760038830
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Entity Type | Organization
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Legal Business Name | NARENDER S DUDEE DDS PLLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 10010 FALLS OF NEUSE RD STE 207
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City | RALEIGH
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State | NC
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Zip | 27614-8496
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Country | US
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Telephone | 919-255-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 SHUDA AVE APT R
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City | GASTONIA
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State | NC
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Zip | 28054-1382
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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 | MBR
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Name | NARENDER S DUDEE
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Credential | DDS
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Telephone | 859-576-6743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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