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General NPI Number Information
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NPI Number | 1891613261
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Entity Type | Individual
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Provider Name | SANJANA MADARAPU DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 5405 CONNER ST
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City | DETROIT
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State | MI
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Zip | 48213
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Country | US
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Telephone | 313-571-2648
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Fax |
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Provider Business Mailing Address
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Address Line | 21465 GREEN HILL RD APT 172
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-4565
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Country | US
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Telephone | 947-224-9584
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901602987
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License Number State | MI
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