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General NPI Number Information
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NPI Number | 1134538945
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Entity Type | Organization
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Legal Business Name | SAIR BUSINESS PLLC
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 8410 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77074-5616
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Country | US
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Telephone | 281-781-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 8410 FONDREN RD
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City | HOUSTON
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State | TX
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Zip | 77074-5616
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Country | US
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Telephone | 281-781-6694
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MUSSADIQ IFTIKHAR
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Credential |
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Telephone | 281-781-6694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 29720
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 28241
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License Number State | TX
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