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General NPI Number Information
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NPI Number | 1396153375
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Entity Type | Individual
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Provider Name | SAIF KARGOLI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 14337 NEWBROOK DR STE 200
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City | CHANTILLY
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State | VA
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Zip | 20151-4259
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Country | US
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Telephone | 703-214-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HAVEN AVE
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City | NEW YORK
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State | NY
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Zip | 10032-2645
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Country | US
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Telephone | 703-214-2113
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 1340
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 0401415175
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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