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General NPI Number Information
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NPI Number | 1407401458
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Entity Type | Individual
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Provider Name | SAJJAD ASHNAGAR DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 800 W ARBROOK BLVD STE 360
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City | ARLINGTON
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State | TX
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Zip | 76015-4317
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Country | US
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Telephone | 817-774-9313
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Fax |
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Provider Business Mailing Address
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Address Line | 37 MADELON ST
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City | BELLEVILLE
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State | MI
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Zip | 48111-2726
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Country | US
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Telephone | 734-262-5890
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 35618
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License Number State | TX
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