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General NPI Number Information
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NPI Number | 1841976198
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Entity Type | Individual
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Provider Name | SUNIL KUMAR BIRAGGARI
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 5514 LONE STAR PKWY STE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6770
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Country | US
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Telephone | 210-688-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 11340 ALAMO RANCH PKWY APT 1023
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6669
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Country | US
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Telephone | 424-345-5965
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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 | 39626
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License Number State | TX
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