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General NPI Number Information
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NPI Number | 1326901430
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Entity Type | Organization
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Legal Business Name | LUXURY DENTAL OF LYNBROOK PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 393 SUNRISE HWY
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City | LYNBROOK
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State | NY
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Zip | 11563-3059
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Country | US
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Telephone | 516-825-6969
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Fax |
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Provider Business Mailing Address
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Address Line | 17 MORLEY CT
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City | ALBERTSON
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State | NY
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Zip | 11507-1152
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Country | US
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Telephone | 646-232-7067
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. FARZIN FAROKHZADEH
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Credential | DDS
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Telephone | 646-232-7067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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