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General NPI Number Information
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NPI Number | 1346751161
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Entity Type | Organization
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Legal Business Name | CHARLES W ASHMAN ,B DANIEL BINAFARD DDS,APC
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 6901 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89117-1601
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Country | US
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Telephone | 702-363-0444
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Fax | 702-363-4136
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Provider Business Mailing Address
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Address Line | 6901 W CHARLESTON BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89117-1601
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Country | US
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Telephone | 702-363-0444
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Fax | 702-363-4136
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Authorized Official
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Title or Position | DENTIST
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Name | BEHZAD D BINAFARD
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Credential | DDS
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Telephone | 310-701-9284
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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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