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General NPI Number Information
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NPI Number | 1326219221
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Entity Type | Organization
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Legal Business Name | BEHNAZ BAGHERI D.D.S. PC
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 300 FREDERICK RD SUITE # 101
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City | CATONSVILLE
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State | MD
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Zip | 21228-4665
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Country | US
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Telephone | 410-788-1200
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Fax | 443-830-1495
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Provider Business Mailing Address
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Address Line | 300 FREDERICK RD SUITE # 101
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City | CATONSVILLE
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State | MD
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Zip | 21228-4665
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Country | US
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Telephone | 410-788-1200
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Fax | 443-830-1495
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SAM JALALI
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Credential |
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Telephone | 410-917-3013
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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 | 13702
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License Number State | MD
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