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General NPI Number Information
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NPI Number | 1245287424
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Entity Type | Individual
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Provider Name | FATEMEH Z SAMANI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 8404 LIME CREEK RD
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City | VOLENTE
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State | TX
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Zip | 78641-9105
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Country | US
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Telephone | 512-244-7677
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Fax | 512-244-9672
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Provider Business Mailing Address
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Address Line | 3407 WELLS BRANCH PKWY SUITE #700
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City | AUSTIN
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State | TX
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Zip | 78728-6632
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Country | US
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Telephone | 512-244-7677
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Fax | 512-244-9672
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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 | 16598
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16598
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License Number State | TX
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