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General NPI Number Information
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NPI Number | 1902530868
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Entity Type | Individual
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Provider Name | MANPRIYA ATWAUL DDS
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 12 MARTIN ST STE 1
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City | WELLSVILLE
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State | NY
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Zip | 14895-1057
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Country | US
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Telephone | 585-593-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 3524 215TH ST FL 1
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City | BAYSIDE
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State | NY
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Zip | 11361-1724
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Country | US
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Telephone | 416-836-2416
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 064359
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License Number State | NY
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