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General NPI Number Information
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NPI Number | 1831829472
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Entity Type | Individual
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Provider Name | RADHIKA MALHOTRA DMD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 701 E CATHEDRAL RD STE 43
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City | PHILADELPHIA
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State | PA
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Zip | 19128-2128
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Country | US
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Telephone | 267-748-2090
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Fax |
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Provider Business Mailing Address
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Address Line | 6 DERBYSHIRE WAY
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City | WILMINGTON
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State | DE
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Zip | 19807-2576
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Country | US
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Telephone | 302-333-3394
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27402
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS044485
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License Number State | PA
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