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General NPI Number Information
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NPI Number | 1881566347
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Entity Type | Organization
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Legal Business Name | MOHAN VR NB PLLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1671 I-35 SOUTH SUITE 300
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-730-5600
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Fax | 830-730-5601
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Provider Business Mailing Address
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Address Line | 1671 I-35 SOUTH SUITE 300
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-730-5600
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Fax | 830-730-5601
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Authorized Official
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Title or Position | OWNER
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Name | MOHAN RAJ JAGANATHAN
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Credential | DDS
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Telephone | 830-730-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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