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General NPI Number Information
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NPI Number | 1285288035
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Entity Type | Individual
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Provider Name | SARA SHEKARI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 1171 CRESTON RD STE AND108
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City | PASO ROBLES
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State | CA
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Zip | 93446-3031
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Country | US
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Telephone | 708-766-9463
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N WABASH AVE UNIT 39D
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City | CHICAGO
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State | IL
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Zip | 60611-3679
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Country | US
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Telephone | 224-628-6658
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019032263
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License Number State | IL
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