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General NPI Number Information
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NPI Number | 1174395743
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Entity Type | Organization
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Legal Business Name | NOZAR TARKESH, DMD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 600 COFFEE RD STE Q
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1264
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Country | US
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Telephone | 661-831-7230
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Fax |
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Provider Business Mailing Address
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Address Line | 600 COFFEE RD STE Q
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1264
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Country | US
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Telephone | 661-831-7230
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NOZAR TARKESH
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Credential | DMD
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Telephone | 661-831-7230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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