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General NPI Number Information
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NPI Number | 1831253483
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Entity Type | Organization
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Legal Business Name | MILAN GANDHI DDS PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/31/2007
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Provider Practice Location Address
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Address Line | 12809 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2217
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Country | US
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Telephone | 718-848-5449
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Fax | 718-641-8818
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Provider Business Mailing Address
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Address Line | 12809 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2217
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Country | US
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Telephone | 718-848-5449
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Fax | 718-641-8818
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MILAN AMBALAL GANDHI
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Credential | D.D.S
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Telephone | 718-848-5449
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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 | 043665-1
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License Number State | NY
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