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General NPI Number Information
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NPI Number | 1316297708
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Entity Type | Individual
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Provider Name | SAMIA NIKKHAH DDS
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 11/14/2016
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Provider Practice Location Address
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Address Line | 11400 ROCKVILLE PIKE SUITE # 510
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-3004
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Country | US
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Telephone | 301-979-9071
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Fax | 301-979-9271
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Provider Business Mailing Address
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Address Line | 11400 ROCKVILLE PIKE SUITE#510
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City | NORTH BETHESDA
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State | MD
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Zip | 20852-3004
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Country | US
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Telephone | 301-979-9071
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Fax | 301-979-9271
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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 | 15194
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License Number State | MD
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