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General NPI Number Information
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NPI Number | 1124451000
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Entity Type | Organization
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Legal Business Name | ALLEN A. ZARRINFAR, D.D.S., PLLC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 08/20/2013
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Provider Practice Location Address
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Address Line | 215 E 5TH AVE
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City | RANSON
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State | WV
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Zip | 25438-1613
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Country | US
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Telephone | 304-725-8660
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Fax | 304-728-7519
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Provider Business Mailing Address
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Address Line | 215 E 5TH AVE
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City | RANSON
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State | WV
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Zip | 25438-1613
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Country | US
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Telephone | 304-725-8660
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Fax | 304-728-7519
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALLEN ALI ZARRINFAR
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Credential | D.D.S.
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Telephone | 703-955-0189
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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 | 4025
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License Number State | WV
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