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NPI 1043575038

NPI 1043575038 : ZYNAB LAILA RAZAI DDS : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1043575038
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    Entity Type          |    Individual 
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    Provider Name        |    ZYNAB LAILA RAZAI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2012
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    3233 WURZBACH RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-4002
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    Country              |    US
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    Telephone            |    210-680-6325
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    Fax                  |    210-680-4957
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Provider Business Mailing Address
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    Address Line         |    PO BOX 34703 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98124-1703
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    Country              |    US
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    Telephone            |    
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DE60840887
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    28095
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DE60840887
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    License Number State |    WA
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