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General NPI Number Information
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NPI Number | 1255696142
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Entity Type | Individual
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Provider Name | SOLMAZ SHIR DDS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2012
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 5817 PINE AVE STE A
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City | CHINO HILLS
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State | CA
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Zip | 91709-6533
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Country | US
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Telephone | 909-606-4500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4204
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City | IRVINE
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State | CA
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Zip | 92616-4204
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Country | US
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Telephone | 281-389-6349
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DDS109654
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 28104
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License Number State | TX
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