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General NPI Number Information
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NPI Number | 1811284318
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Entity Type | Individual
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Provider Name | NIRDESH PARIKH DMD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 10710 MEDLOCK BRIDGE RD
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1827
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Country | US
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Telephone | 678-957-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 349 WIMAN PARK LN
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City | JOHNS CREEK
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State | GA
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Zip | 30097-4201
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Country | US
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Telephone | 732-688-1877
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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 | 22DI02487900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 056175
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN122193
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License Number State | GA
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