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General NPI Number Information
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NPI Number | 1902328958
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Entity Type | Organization
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Legal Business Name | ANISHA PATEL DDS PLLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 2448 OLD BRICK RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-5841
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Country | US
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Telephone | 804-360-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 4313 ALLENBEND CIR
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City | GLEN ALLEN
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State | VA
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Zip | 23060-6520
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Country | US
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Telephone | 434-770-2504
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Fax |
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Authorized Official
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Title or Position | DDS/OWNER
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Name | DR. ANISHA PATEL
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Credential |
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Telephone | 804-360-0355
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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 | 0401413640
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License Number State | VA
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