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General NPI Number Information
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NPI Number | 1003020256
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Entity Type | Individual
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Provider Name | ARMIN LALEHZARI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 44-02 FRANCIS LEWIS BLVD. #1C DAZZLING SMILE DENTAL GROUP
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City | BAYSIDE
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State | NY
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Zip | 11361-6546
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Country | US
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Telephone | 718-255-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 60 OLD COURTHOUSE RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1228
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Country | US
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Telephone | 516-578-3369
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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 | 051768-1
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License Number State | NY
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