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General NPI Number Information
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NPI Number | 1831237916
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Entity Type | Individual
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Provider Name | NIKITA VAKIL D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 1213 MAIN ST
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City | PASADENA
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State | TX
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Zip | 77506-4506
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Country | US
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Telephone | 713-473-7198
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 RICHMOND AVE APT #421
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City | HOUSTON
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State | TX
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Zip | 77098-3259
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Country | US
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Telephone | 954-464-0620
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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 | 23857
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License Number State | TX
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