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General NPI Number Information
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NPI Number | 1821583303
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Entity Type | Individual
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Provider Name | DR. AVNI PANDHI
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1423 BROADWAY
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City | SAUGUS
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State | MA
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Zip | 01906-4707
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Country | US
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Telephone | 781-941-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 11215 OAK LEAF DR APT 708
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City | SILVER SPRING
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State | MD
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Zip | 20901-1370
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Country | US
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Telephone | 617-784-5860
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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 | DN1858541
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License Number State | MA
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