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General NPI Number Information
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NPI Number | 1861948796
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Entity Type | Individual
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Provider Name | HARDIK J VYAS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1330 W CHESTER PIKE
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City | HAVERTOWN
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State | PA
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Zip | 19083-3246
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Country | US
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Telephone | 201-873-3808
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 W CHESTER PIKE
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City | HAVERTOWN
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State | PA
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Zip | 19083-3246
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Country | US
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Telephone | 201-873-3808
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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 | DS044944
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901022072
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License Number State | MI
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