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General NPI Number Information
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NPI Number | 1205569001
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Entity Type | Individual
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Provider Name | IVA SINAMATI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2022
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 3050 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33314
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Country | US
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Telephone | 954-663-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S FEDERAL HWY APT 633
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-4331
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Country | US
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Telephone | 586-921-3903
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN25403
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License Number State | FL
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