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General NPI Number Information
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NPI Number | 1215415690
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Entity Type | Individual
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Provider Name | ZAHRA HEIDARI ZADI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 3400 PAYNE ST STE 101
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City | FALLS CHURCH
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State | VA
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Zip | 22041-2313
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Country | US
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Telephone | 703-578-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 SAINT PAUL ST APT 1109
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City | BALTIMORE
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State | MD
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Zip | 21202-2631
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Country | US
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Telephone | 443-449-1414
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401416214
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License Number State | VA
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