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General NPI Number Information
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NPI Number | 1033300058
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Entity Type | Organization
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Legal Business Name | ZANZI DENTAL GROUP, APC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 6910 DOUGLAS BLVD SUITE F
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City | GRANITE BAY
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State | CA
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Zip | 95746-6276
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Country | US
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Telephone | 916-780-7676
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Fax | 916-780-7681
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Provider Business Mailing Address
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Address Line | 6910 DOUGLAS BLVD SUITE F
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City | GRANITE BAY
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State | CA
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Zip | 95746-6276
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Country | US
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Telephone | 916-780-7676
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Fax | 916-780-7681
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Authorized Official
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Title or Position | CFO
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Name | DR. NADER ZANZI
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Credential | D.M.D
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Telephone | 916-780-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52491
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License Number State | CA
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