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General NPI Number Information
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NPI Number | 1023419587
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Entity Type | Organization
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Legal Business Name | PARVEZ BAIG DMD CORPORATION
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1423 CHAPEL ST SUITE 3A
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City | NEW HAVEN
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State | CT
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Zip | 06511-4411
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Country | US
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Telephone | 203-562-0234
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Fax | 203-865-2556
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Provider Business Mailing Address
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Address Line | 1423 CHAPEL ST SUITE 3A
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City | NEW HAVEN
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State | CT
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Zip | 06511-4411
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Country | US
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Telephone | 203-562-0234
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Fax | 203-865-2556
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARVEZ BAIG
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Credential | DMD
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Telephone | 203-562-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10977
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 010389
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License Number State | CT
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