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General NPI Number Information
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NPI Number | 1962070409
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Entity Type | Individual
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Provider Name | PUJA KEDIA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 25102 BROOKPARK RD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-6414
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Country | US
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Telephone | 440-471-6133
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Fax |
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Provider Business Mailing Address
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Address Line | 5480 JACQUELINE LN
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3888
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Country | US
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Telephone | 440-590-2179
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026616
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License Number State | OH
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