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General NPI Number Information
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NPI Number | 1932412798
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Entity Type | Individual
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Provider Name | ARCHANA MANOHAR LANKUPALLI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 404 N I 35 E
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City | LANCASTER
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State | TX
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Zip | 75146-1865
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Country | US
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Telephone | 732-910-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 117 WESTGATE DR
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City | EDISON
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State | NJ
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Zip | 08820-1161
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Country | US
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Telephone |
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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 | 0025821
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License Number State | TX
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