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General NPI Number Information
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NPI Number | 1033670757
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Entity Type | Individual
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Provider Name | AMIR NAFFI DMD,MS
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 6302 MANATEE AVE W STE A
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City | BRADENTON
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State | FL
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Zip | 34209-2355
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Country | US
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Telephone | 941-792-2965
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 ALHAMBRA CREST DR
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City | RUSKIN
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State | FL
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Zip | 33570-7915
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Country | US
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Telephone | 862-699-8577
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10254
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License Number State | KY
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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 | DN24074
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License Number State | FL
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