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General NPI Number Information
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NPI Number | 1821285065
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Entity Type | Individual
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Provider Name | ANJU N MANDHANI DDS
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 5505 W OREM DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77085-1277
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Country | US
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Telephone | 713-723-9200
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Fax | 713-723-9202
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Provider Business Mailing Address
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Address Line | 1500 E SOUTHMORE AVE
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City | PASADENA
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State | TX
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Zip | 77502-1314
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Country | US
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Telephone | 713-944-6800
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Fax | 713-472-6101
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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 | 23053
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License Number State | TX
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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 | 23053
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License Number State | TX
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