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General NPI Number Information
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NPI Number | 1932652302
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Entity Type | Individual
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Provider Name | KINJAL VORA DDS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 04/05/2021
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Provider Practice Location Address
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Address Line | 5706 BENJAMIN CENTER DR STE 103
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City | TAMPA
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State | FL
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Zip | 33634-5262
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Country | US
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Telephone | 813-288-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 117 GALLATIN PIKE N
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City | MADISON
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State | TN
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Zip | 37115-3701
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Country | US
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Telephone | 615-868-6177
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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 | 10303
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN25094
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License Number State | FL
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