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General NPI Number Information
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NPI Number | 1760262471
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Entity Type | Organization
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Legal Business Name | NAPA OAKS DENTAL
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 27650 INTERSTATE 10 W STE 203
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City | BOERNE
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State | TX
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Zip | 78006-2561
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Country | US
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Telephone | 210-201-5564
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Fax |
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Provider Business Mailing Address
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Address Line | 25507 GREEN TER
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2386
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Country | US
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Telephone | 210-577-0516
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. KEYUR BHAGAT
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Credential | DDS
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Telephone | 210-201-5564
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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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