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1265495709 NPI number — HAMID R ESBAH-TABATABAIE D.M.D.

NPI Number: 1265495709
Health Care Provider/Practitioner: HAMID R ESBAH-TABATABAIE D.M.D.

Information about “1265495709” NPI (HAMID R ESBAH-TABATABAIE D.M.D.) exists in 1265495709 in HTML format HTML  |  1265495709 in plain Text format TXT  |  1265495709 in PDF (Portable Document Format) PDF  |  1265495709 in an XML format XML  formats.

NPI Number : 1265495709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265495709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESBAH-TABATABAIE",
    "FirstName": "HAMID",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ESBAH",
    "OtherFirstName": "HAMID",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "88 MONTVALE AVE",
    "SecondLineMailingAddress": "SUITE 5",
    "MailingAddressCityName": "STONEHAM",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02180-3643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "781-438-7206",
    "MailingAddressFaxNumber": "781-279-9029",
    "FirstLinePracticeLocationAddress": "88 MONTVALE AVE",
    "SecondLinePracticeLocationAddress": "SUITE 5",
    "PracticeLocationAddressCityName": "STONEHAM",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02180-3643",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "781-438-7206",
    "PracticeLocationAddressFaxNumber": "781-279-9029",
    "EnumerationDate": "04/07/2006",
    "LastUpdateDate": "01/15/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "19054",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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