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General NPI Number Information
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NPI Number | 1184741928
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Entity Type | Organization
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Legal Business Name | AMER SAFADID.M.D,INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6940 SANTA TERESA BLVD SUITE#4
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City | SAN JOSE
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State | CA
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Zip | 95119-1345
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Country | US
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Telephone | 408-972-2811
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Fax | 408-972-2836
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Provider Business Mailing Address
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Address Line | 6940 SANTA TERESA BLVD SUITE#4
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City | SAN JOSE
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State | CA
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Zip | 95119-1345
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Country | US
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Telephone | 408-972-2811
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Fax | 408-972-2836
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMER SAFADI
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Credential | D.M.D
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Telephone | 408-972-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 33363
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License Number State | CA
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