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General NPI Number Information
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NPI Number | 1003041328
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Entity Type | Individual
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Provider Name | SIAMAK SY MAJIDI DDS
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Gender | Male
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 3239 N ST NW APT 12
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City | WASHINGTON
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State | DC
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Zip | 20007-2834
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Country | US
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Telephone | 240-418-6103
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Fax |
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Provider Business Mailing Address
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Address Line | 3239 N ST NW APT 12
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City | WASHINGTON
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State | DC
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Zip | 20007-2834
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Country | US
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Telephone | 240-418-6103
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN1000816
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401412530
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 14345
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License Number State | MD
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