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General NPI Number Information
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NPI Number | 1265699532
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Entity Type | Organization
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Legal Business Name | DR LEYLA NOURIAN DDS PA
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 17000 PRESTON RD STE 170
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City | DALLAS
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State | TX
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Zip | 75248-1201
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Country | US
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Telephone | 972-818-2244
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Fax | 972-818-9500
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Provider Business Mailing Address
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Address Line | 17000 PRESTON RD STE 170
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City | DALLAS
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State | TX
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Zip | 75248-1201
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Country | US
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Telephone | 972-818-2244
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Fax | 972-818-9500
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | THANH CRAMER
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Credential |
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Telephone | 972-818-2244
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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 | 18142
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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 | 17807
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License Number State | TX
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