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General NPI Number Information
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NPI Number | 1346826062
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Entity Type | Organization
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Legal Business Name | ELNAZ JAVADKHANI, DDS, P.A.
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 10114 S MILITARY TRL STE 112
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4048
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Country | US
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Telephone | 561-734-5108
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Fax |
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Provider Business Mailing Address
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Address Line | 10114 S MILITARY TRL STE 112
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4048
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Country | US
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Telephone | 561-734-5108
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ELNAZ JAVADKHANI
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Credential | DDS
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Telephone | 561-734-5108
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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 |
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License Number State |
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