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General NPI Number Information
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NPI Number | 1972232767
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Entity Type | Individual
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Provider Name | ASHOK NEUPANE DMD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 3751 N MAIN ST STE D
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City | ROSWELL
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State | NM
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Zip | 88201-0300
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Country | US
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Telephone | 575-622-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 12321 W GLENN DR
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City | GLENDALE
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State | AZ
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Zip | 85307-1807
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Country | US
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Telephone | 361-537-9284
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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 | DD5625
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License Number State | NM
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