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General NPI Number Information
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NPI Number | 1356127567
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Entity Type | Individual
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Provider Name | PARANDIS NEJATI DDS
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 62 LAKE AVE S STE A
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City | NESCONSET
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State | NY
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Zip | 11767-1094
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Country | US
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Telephone | 631-658-5395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 483
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-0483
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Country | US
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Telephone | 516-515-1068
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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 | 063155
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 063155
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License Number State | NY
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