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General NPI Number Information
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NPI Number | 1144636242
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Entity Type | Organization
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Legal Business Name | FARIGHI D D S INCORPORATED
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 2002 W 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2323
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Country | US
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Telephone | 714-543-6666
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Fax | 714-543-6601
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Provider Business Mailing Address
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Address Line | 2002 W 17TH ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2323
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Country | US
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Telephone | 714-543-6666
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Fax | 714-543-6601
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALIREZA FARIGHI
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Credential | DDS
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Telephone | 714-543-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 41076
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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 | 41076
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License Number State | CA
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