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General NPI Number Information
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NPI Number | 1043377963
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Entity Type | Organization
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Legal Business Name | LENGADE AND ZOLFAGHARI LLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10020 SOUTHERN MD BLVD STE 201A
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City | DUNKIRK
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State | MD
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Zip | 20754
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Country | US
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Telephone | 410-257-3233
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Fax | 410-257-0805
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Provider Business Mailing Address
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Address Line | 10020 SOUTHERN MD BLVD STE 201A
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City | DUNKIRK
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State | MD
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Zip | 20754
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Country | US
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Telephone | 410-257-3233
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Fax | 410-257-0805
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Authorized Official
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Title or Position | OWNER
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Name | MR. SUNIL LENGADE
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Credential | DDS
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Telephone | 410-257-3233
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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 | 1223G0001X
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License Number State | MD
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