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General NPI Number Information
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NPI Number | 1003636382
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Entity Type | Organization
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Legal Business Name | SARAH BAKAR DDS PLLC
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 2010 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-7002
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Country | US
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Telephone | 518-452-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 53 PLAZA AVE
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City | RENSSELAER
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State | NY
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Zip | 12144-9662
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Country | US
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Telephone | 732-778-8580
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARAH BAKAR
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Credential | DDS
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Telephone | 732-778-8580
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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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