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General NPI Number Information
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NPI Number | 1134019375
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Entity Type | Individual
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Provider Name | ZAN SATTAR DMD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2100 REEVES RD
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City | DECATUR
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State | TX
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Zip | 76234-3855
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Country | US
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Telephone | 940-627-8400
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 HILLWOOD DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-2413
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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 | 41752
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License Number State | TX
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