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General NPI Number Information
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NPI Number | 1023814936
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Entity Type | Organization
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Legal Business Name | NOROUZINIA PERIODONTICS, P.C.
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 9090 RIDGELINE BLVD STE 225
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2507
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Country | US
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Telephone | 303-683-1144
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Fax | 303-683-1830
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Provider Business Mailing Address
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Address Line | 9090 RIDGELINE BLVD STE 225
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2507
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Country | US
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Telephone | 303-683-1144
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Fax | 303-683-1830
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Authorized Official
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Title or Position | DOCTOR
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Name | BAHMAN NOROUZINIA
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Credential | DDS
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Telephone | 303-683-1144
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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 |
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License Number State |
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