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General NPI Number Information
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NPI Number | 1295642494
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Entity Type | Organization
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Legal Business Name | FAZLI DENTAL PLLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 751 S BUDDY HAYES BLVD STE 106
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City | ANNA
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State | TX
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Zip | 75409-6243
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Country | US
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Telephone | 972-363-7348
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 NW EXPWY ST STE 1600
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-1839
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Country | US
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Telephone | 918-786-0017
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ABDULLAH FAZLI
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Credential | DDS
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Telephone | 918-786-0017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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