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General NPI Number Information
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NPI Number | 1104915461
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Entity Type | Individual
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Provider Name | HUMA BAYAT D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 8330 BRENTWOOD BLVD. SUITE A
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City | BRENTWOOD
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State | CA
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Zip | 94513
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Country | US
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Telephone | 925-634-9118
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Fax | 925-634-9102
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Provider Business Mailing Address
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Address Line | 8330 BRENTWOOD BLVD. SUITE A
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City | BRENTWOOD
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State | CA
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Zip | 94513
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Country | US
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Telephone | 925-634-9118
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Fax | 925-634-9102
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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 | 53758
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License Number State | CA
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