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General NPI Number Information
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NPI Number | 1790941912
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Entity Type | Individual
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Provider Name | PRATHIMA RASAMSETTY DDS
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Gender | Female
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 306 RICHLAND HILLS DR STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78245-3233
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Country | US
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Telephone | 210-674-5370
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Fax | 210-673-7741
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Provider Business Mailing Address
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Address Line | 306 RICHLAND HILLS DR STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78245-3233
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Country | US
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Telephone | 719-545-5778
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Fax | 719-545-5783
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24113
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License Number State | TX
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