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General NPI Number Information
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NPI Number | 1346875754
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Entity Type | Organization
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Legal Business Name | FERAS ZIADAT DMD PLLC
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 1720 E WARNER RD STE 5
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City | TEMPE
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State | AZ
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Zip | 85284-4542
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Country | US
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Telephone | 480-345-7413
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 E WARNER RD STE 5
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City | TEMPE
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State | AZ
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Zip | 85284-4542
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Country | US
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Telephone | 480-345-7413
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. FERAS ZIAD ZIADAT
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Credential | DMD
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Telephone | 602-481-9876
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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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