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General NPI Number Information
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NPI Number | 1346766979
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Entity Type | Individual
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Provider Name | SAMAN MOSTAJABIAN DDS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 3281 BEL AIR MALL STE G18A
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City | MOBILE
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State | AL
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Zip | 36606-3207
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Country | US
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Telephone | 251-301-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 25878 POLLARD RD APT 2124
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City | DAPHNE
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State | AL
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Zip | 36526-5153
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Country | US
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Telephone | 949-566-5042
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6454
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License Number State | AL
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