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General NPI Number Information
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NPI Number | 1346186053
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Entity Type | Organization
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Legal Business Name | FATTAHI DENTAL GROUP PLLC
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 400 COMMONWEALTH AVE STE 3
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City | BOSTON
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State | MA
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Zip | 02215-2813
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Country | US
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Telephone | 617-266-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 225 HARVARD CIR
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City | NEWTONVILLE
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State | MA
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Zip | 02460-2216
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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 | MEMBER
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Name | AMIRALI FATTAHI
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Credential | DMD
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Telephone | 617-233-5933
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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 |
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License Number State |
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