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General NPI Number Information
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NPI Number | 1942992862
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Entity Type | Individual
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Provider Name | AVNI DEVENDRA PATEL DMD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 427 W BANKHEAD HWY
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City | VILLA RICA
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State | GA
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Zip | 30180-1702
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Country | US
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Telephone | 770-456-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 MANDEVILLE RD
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City | CARROLLTON
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State | GA
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Zip | 30117-5439
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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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 | DN123863
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License Number State | GA
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