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General NPI Number Information
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NPI Number | 1154555894
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Entity Type | Individual
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Provider Name | MICHELLE MEHRI HAGHPANAH D.D.S, M.P.H
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Gender | Female
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Dates
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Enumeration Date | 05/10/2009
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 853 MIDDLEFIELD RD STE 2
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City | PALO ALTO
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State | CA
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Zip | 94301
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Country | US
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Telephone | 650-322-9837
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Fax | 650-600-8019
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Provider Business Mailing Address
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Address Line | 1480 SARATOGA AVE
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City | SARATOGA
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State | CA
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Zip | 95070-3612
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Country | US
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Telephone | 408-866-3000
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 055141
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 60162
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 010192
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License Number State | CT
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