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General NPI Number Information
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NPI Number | 1326321019
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Entity Type | Organization
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Legal Business Name | SARAH ZIRAKZADEH DDS INC
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 31726 RANCHO VIEJO RD # B109
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2779
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Country | US
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Telephone | 949-240-0250
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Fax | 949-240-0201
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Provider Business Mailing Address
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Address Line | 31726 RANCHO VIEJO RD STE 109
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-2723
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Country | US
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Telephone | 949-240-0250
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Fax | 949-240-0201
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Authorized Official
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Title or Position | OFFICER
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Name | MRS. SARAH ZIRAKZADEH
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Credential | D.D.S
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Telephone | 949-240-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 46007
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License Number State | CA
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