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General NPI Number Information
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NPI Number | 1891023230
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Entity Type | Organization
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Legal Business Name | LEKHA TULL D D S P C
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 08/11/2014
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Provider Practice Location Address
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Address Line | 214 N HARRISON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-3507
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Country | US
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Telephone | 609-924-5171
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Fax |
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Provider Business Mailing Address
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Address Line | 214 N HARRISON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-3507
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Country | US
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Telephone | 609-924-5171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEKHA TULL
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Credential | DDS
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Telephone | 609-924-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI01526000
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License Number State | NJ
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