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General NPI Number Information
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NPI Number | 1013417641
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Entity Type | Individual
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Provider Name | SHAHRAM VAZIRI-LENJANI DDS
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Gender | Male
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 11404 OLD GEORGETOWN RD STE 206
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City | ROCKVILLE
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State | MD
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Zip | 20852-2892
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Country | US
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Telephone | 301-244-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 11414 EMERALD PARK RD
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City | POTOMAC
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State | MD
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Zip | 20854-1167
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Country | US
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Telephone | 619-717-1661
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 42895
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17513
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License Number State | MD
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