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General NPI Number Information
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NPI Number | 1346144052
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Entity Type | Organization
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Legal Business Name | SUSSAN CHANGIZI DDS INC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 4952 E KINGS CANYON RD STE 101
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City | FRESNO
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State | CA
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Zip | 93727-3854
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Country | US
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Telephone | 559-599-5361
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Fax |
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Provider Business Mailing Address
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Address Line | 266 W BLUFF AVE
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City | FRESNO
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State | CA
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Zip | 93711-6930
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | SUSSAN CHANGIZI
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Credential |
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Telephone | 559-274-2761
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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 | NULL
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