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General NPI Number Information
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NPI Number | 1851788616
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Entity Type | Organization
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Legal Business Name | TX DENTAL CENTER PA
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 8033 MARATHON DR
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City | PLANO
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State | TX
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Zip | 75024-6847
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Country | US
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Telephone | 215-785-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 NEBRASKA AVE UNIT C1
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City | LEVITTOWN
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State | PA
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Zip | 19056-3375
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Country | US
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Telephone | 215-785-1100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIKAS ARORA
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Credential |
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Telephone | 215-785-1100
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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 | 30797
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License Number State | TX
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