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General NPI Number Information
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NPI Number | 1952771206
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Entity Type | Individual
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Provider Name | ANKITA BANT DMD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10 S KYRENE RD
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City | CHANDLER
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State | AZ
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Zip | 85226-4524
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Country | US
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Telephone | 480-292-7725
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 E ZION WAY
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City | CHANDLER
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State | AZ
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Zip | 85249-5195
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Country | US
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Telephone | 615-983-0903
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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 | 10160
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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 | D009311
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License Number State | AZ
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