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General NPI Number Information
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NPI Number | 1902428741
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Entity Type | Organization
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Legal Business Name | ARISE DENTAL OF CARTHAGE PLLC
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 1100 W PANOLA ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2342
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Country | US
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Telephone | 903-200-1114
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Fax | 903-500-2703
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Provider Business Mailing Address
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Address Line | 1100 W PANOLA ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2342
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Country | US
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Telephone | 903-200-1114
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Fax | 903-500-2703
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. VINEET SHARMA
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Credential | DDS
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Telephone | 903-200-1114
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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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