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General NPI Number Information
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NPI Number | 1114449584
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Entity Type | Individual
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Provider Name | SEYEDEH FERESHTE VALAEI
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Gender | Female
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | UNIVERSITY OF KENTUCKY 800 ROSE STREET
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City | LEXINGTON
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State | KY
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Zip | 40536
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Country | US
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Telephone | 859-323-2636
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Fax | --
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Provider Business Mailing Address
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Address Line | 800 ROSE ST RM D-508
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City | LEXINGTON
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State | KY
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Zip | 40536-0293
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Country | US
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Telephone | 859-257-2002
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Fax | 859-323-5858
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 33196
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10109
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License Number State | KY
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