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General NPI Number Information
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NPI Number | 1295990869
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Entity Type | Individual
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Provider Name | BAHAREH SABZEHEI D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 939 W NORTH AVE STE 700
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City | CHICAGO
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State | IL
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Zip | 60642-7839
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Country | US
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Telephone | 312-736-7959
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Fax | 312-944-7839
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Provider Business Mailing Address
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Address Line | 939 W NORTH AVE STE 700
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City | CHICAGO
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State | IL
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Zip | 60642-7839
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Country | US
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Telephone | 312-736-7959
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Fax | 312-944-7839
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 0019026790
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License Number State | IL
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