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General NPI Number Information
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NPI Number | 1770138968
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Entity Type | Organization
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Legal Business Name | SANJAY KUMAR VANJARAPU DDS PC
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 6280 W LAS POSITAS BLVD STE 215
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City | PLEASANTON
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State | CA
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Zip | 94588-4940
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Country | US
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Telephone | 925-234-4421
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Fax | 925-237-9019
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Provider Business Mailing Address
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Address Line | 6280 W LAS POSITAS BLVD STE 215
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City | PLEASANTON
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State | CA
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Zip | 94588-4940
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Country | US
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Telephone | 925-234-4421
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Fax | 925-237-9019
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Authorized Official
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Title or Position | DENTIST
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Name | SANJAY KUMAR VANJARAPU
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Credential | DDS
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Telephone | 209-780-4777
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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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