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General NPI Number Information
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NPI Number | 1851763031
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Entity Type | Individual
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Provider Name | URVISHKUMAR BHALALA D.M.D
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Gender | Male
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 117 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5522
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Country | US
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Telephone | 215-860-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ARAGON CT
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City | EWING
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State | NJ
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Zip | 08628-2232
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Country | US
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Telephone | 848-565-5654
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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 | DS040655
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License Number State | PA
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