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General NPI Number Information
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NPI Number | 1265783088
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Entity Type | Organization
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Legal Business Name | P.A. DABIR DDS & Z.E.S. CUISIA
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 3257 CAMINO DE LOS COCHES SUITE 304
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City | CARLSBAD
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State | CA
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Zip | 92009-8974
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Country | US
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Telephone | 760-633-1131
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Fax | 760-633-1551
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Provider Business Mailing Address
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Address Line | 3257 CAMINO DE LOS COCHES SUITE 304
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City | CARLSBAD
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State | CA
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Zip | 92009-8974
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Country | US
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Telephone | 760-633-1131
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Fax | 760-633-1551
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | PRIYADARSHAN ASHOK DABIR
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Credential | DDS
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Telephone | 760-633-1131
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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 | 49739
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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 | 49740
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License Number State | CA
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