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NPI Code Detail

MEDICARE: DR. SAFIA AZIZI D.M.D.

MEDICARE:  DR. SAFIA  AZIZI  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7155NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679585475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAFIA AZIZI D.M.D.
Provider Business Mailing Address
First Line : 215 RACINE DR
Second Line : SUITE 102
City : WILMINGTON
State : NC
Zip : 28403-8702
Country : US
Telephone Number : 910-332-0687
Fax Number : 910-332-0689
Provider Business Practice Location Address
First Line : 215 RACINE DR
Second Line : SUITE 102
City : WILMINGTON
State : NC
Zip : 28403-8702
Country : US
Telephone Number : 910-332-0687
Fax Number : 910-332-0689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 05/24/2016

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