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General NPI Number Information
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NPI Number | 1992906168
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Entity Type | Organization
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Legal Business Name | VEDIC DENTAL INC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 10810 DARNESTOWN RD STE H2
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2602
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Country | US
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Telephone | 301-738-1074
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Fax |
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Provider Business Mailing Address
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Address Line | 10810 DARNESTOWN RD STE H2
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2602
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Country | US
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Telephone | 301-738-1074
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. KALPNA RANADIVE
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Credential | DMD
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Telephone | 301-738-1074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 13983
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License Number State | MD
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