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General NPI Number Information
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NPI Number | 1982083358
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Entity Type | Individual
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Provider Name | DR. SERAH UDDARAJU
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Gender | Male
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 401 GREGORY LN STE 218
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2846
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Country | US
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Telephone | 925-687-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 401 GREGORY LN STE 218
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2846
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Country | US
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Telephone | 925-687-0343
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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 | 059084
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License Number State | NY
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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 | 108378
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License Number State | CA
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