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General NPI Number Information
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NPI Number | 1417246273
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Entity Type | Individual
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Provider Name | NEDA BAHMADI MOGHADDAM DMD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 850 NW 115TH AVE
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City | PLANTATION
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State | FL
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Zip | 33325-1500
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Country | US
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Telephone | 917-386-7096
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Fax |
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Provider Business Mailing Address
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Address Line | 850 NW 115TH AVE
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City | PLANTATION
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State | FL
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Zip | 33325-1500
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Country | US
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Telephone |
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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 | DN19275
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License Number State | FL
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