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General NPI Number Information
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NPI Number | 1790032076
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Entity Type | Individual
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Provider Name | JAINY D VAKHARIA DDS
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 13922 ESTATE MANOR DR
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City | GAINESVILLE
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State | VA
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Zip | 20155-5951
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Country | US
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Telephone | 703-754-7788
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Fax | 703-754-7788
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Provider Business Mailing Address
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Address Line | 14316 SUMMER TREE RD APT I
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City | CENTREVILLE
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State | VA
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Zip | 20121-4017
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Country | US
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Telephone | 201-757-4312
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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 | 62515
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6306
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401415256
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License Number State | VA
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