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General NPI Number Information
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NPI Number | 1215885496
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Entity Type | Organization
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Legal Business Name | LUXORA DENTAL PLLC
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 20480 ROUTE 19 STE 104
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City | CRANBERRY TOWNSHIP
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State | PA
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Zip | 16066-7501
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Country | US
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Telephone | 215-617-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 BLACK BEAR WAY
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3811
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Country | US
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Telephone | 215-617-0286
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JASON JAVAD AMANI
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Credential | DMD
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Telephone | 215-617-0286
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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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