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General NPI Number Information
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NPI Number | 1164284329
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Entity Type | Organization
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Legal Business Name | RADPARVAR SMILES R US AT TIMONIUM
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 2080 YORK RD STE 255
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4263
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Country | US
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Telephone | 443-866-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 2833 SMITH AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-1426
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SAMAN RADPARVAR
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Credential |
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Telephone | 443-850-4150
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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 |
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License Number State |
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