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General NPI Number Information
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NPI Number | 1336303874
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Entity Type | Individual
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Provider Name | BAHA DURAINI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 150 BRAND STE 800
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City | MURPHY
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State | TX
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Zip | 75094-3734
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Country | US
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Telephone | 469-498-4445
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Fax | 469-498-4447
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Provider Business Mailing Address
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Address Line | 7705 MEADOW PARK DR 206
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City | DALLAS
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State | TX
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Zip | 75230-5500
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Country | US
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Telephone | 210-473-5359
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Fax |
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 233871
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 23871
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License Number State | TX
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