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NPI 1104870153

NPI 1104870153 : VAL DANIYAR DMD PA : NAPLES, FL

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General NPI Number Information
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    NPI Number           |    1104870153
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    Entity Type          |    Organization 
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    Legal Business Name  |    VAL DANIYAR DMD PA 
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Dates
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    Enumeration Date     |    05/22/2006
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    Last Update Date     |    08/20/2012
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Provider Practice Location Address
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    Address Line         |    681 GOODLETTE RD N STE 110 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5612
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    Country              |    US
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    Telephone            |    239-261-8200
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    Fax                  |    239-263-3210
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Provider Business Mailing Address
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    Address Line         |    681 GOODLETTE RD N STE 110 
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34102-5612
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    Country              |    US
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    Telephone            |    239-261-8200
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    Fax                  |    239-263-3210
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Authorized Official
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    Title or Position    |    PRESIDENT/ DOCTOR
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    Name                 |    DR. VAL  DANIYAR 
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    Credential           |    DMD
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    Telephone            |    239-261-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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