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General NPI Number Information
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NPI Number | 1902368129
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Entity Type | Individual
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Provider Name | MEGHANA STHANAM DMD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 2708 OLD ELM HILL PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3150
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Country | US
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Telephone | 615-885-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 21ST WAY S APT 1
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City | BIRMINGHAM
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State | AL
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Zip | 35205-5062
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Country | US
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Telephone | 205-999-1014
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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 | 11301
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License Number State | TN
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