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General NPI Number Information
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NPI Number | 1770397705
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Entity Type | Individual
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Provider Name | VYOMITA KUSHWAH BDS
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Gender | Female
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 19 DEPOT ST
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City | ADAMS
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State | MA
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Zip | 01220-1856
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Country | US
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Telephone | 413-307-6044
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Fax |
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Provider Business Mailing Address
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Address Line | 444 STOCKBRIDGE RD STE 2
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1295
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Country | US
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Telephone | 413-528-5565
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DL100155
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License Number State | MA
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