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General NPI Number Information
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NPI Number | 1235868217
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Entity Type | Individual
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Provider Name | HAJIRAH ALI AFRIDI D.M.D
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Gender | Female
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3651 JUSTIN RD STE 130
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2544
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Country | US
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Telephone | 972-874-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 323 BUTTERNUT
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City | IRVING
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State | TX
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Zip | 75063-1800
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Country | US
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Telephone | 617-606-0933
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859479
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40282
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License Number State | TX
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