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General NPI Number Information
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NPI Number | 1881121846
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Entity Type | Individual
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Provider Name | KEYUR NAIK DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2017
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 10175 GATEWAY BLVD W STE 304
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City | EL PASO
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State | TX
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Zip | 79925-7618
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Country | US
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Telephone | 609-577-4598
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Fax |
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Provider Business Mailing Address
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Address Line | 12780 ROJAS DR
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City | EL PASO
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State | TX
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Zip | 79928-5474
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Country | US
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Telephone | 915-642-7005
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Fax | 915-599-8579
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 39405
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 39405
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License Number State | TX
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