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General NPI Number Information
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NPI Number | 1134368228
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Entity Type | Organization
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Legal Business Name | FARSHAD SAGHATCHI DDS, INC.
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 26534 MOULTON PKWY STE D
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-8241
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Country | US
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Telephone | 949-831-8100
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Fax | 949-831-8122
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Provider Business Mailing Address
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Address Line | 26534 MOULTON PKWY STE D
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-8241
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Country | US
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Telephone | 949-831-8100
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Fax | 949-831-8122
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARSHAD SAGHATCHI
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Credential | D.D.S.
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Telephone | 949-831-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 49877
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 45970
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License Number State | CA
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