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General NPI Number Information
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NPI Number | 1366890139
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Entity Type | Individual
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Provider Name | ZALAK DAFTARY DDS
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Gender | Female
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 7317 NE 141ST ST
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City | KIRKLAND
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State | WA
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Zip | 98034-9739
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Country | US
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Telephone | 425-636-8969
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Fax |
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Provider Business Mailing Address
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Address Line | 11801 NE 36TH PL
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City | BELLEVUE
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State | WA
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Zip | 98005-1247
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Country | US
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Telephone | 704-497-0542
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DE60638476
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License Number State | WA
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