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General NPI Number Information
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NPI Number | 1144390584
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Entity Type | Individual
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Provider Name | NEGAR SAZGAR D.D.S
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 450 S GLENDORA AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3066
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Country | US
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Telephone | 626-856-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 3420 S SEPULVEDA BLVD APT 314
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City | LOS ANGELES
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State | CA
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Zip | 90034-6076
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Country | US
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Telephone | 310-397-1340
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 50526
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License Number State | CA
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