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General NPI Number Information
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NPI Number | 1770380735
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Entity Type | Organization
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Legal Business Name | AISHWARYA ABBAREDDY DMD LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1035 N EMPORIA AVE STE 265
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City | WICHITA
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State | KS
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Zip | 67214-2972
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Country | US
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Telephone | 316-263-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 N CYPRESS ST
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City | WICHITA
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State | KS
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Zip | 67206-4058
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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 | GENERAL DENTIST
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Name | AISHWARYA ABBAREDDY
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Credential | DMD
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Telephone | 316-641-5204
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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 |
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License Number State |
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