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General NPI Number Information
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NPI Number | 1851170906
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Entity Type | Organization
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Legal Business Name | SATYAM DENTAL INFRASTRUCTURE LLC
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 5527 ARDEN MILL DRIVE SUITE 105
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City | FORT MILL
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State | SC
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Zip | 29715
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Country | US
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Telephone | 803-650-6424
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Fax | 803-650-6445
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Provider Business Mailing Address
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Address Line | 2361 HARVESTER AVE
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City | FORT MILL
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State | SC
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Zip | 29708-8415
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Country | US
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Telephone | 551-689-0313
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEHA SATYANARAYAN TAORI
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Credential | D.D.S
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Telephone | 551-689-0313
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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 |
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License Number State |
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