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General NPI Number Information
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NPI Number | 1417258955
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Entity Type | Organization
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Legal Business Name | SHAHREYAR SEAN SAYYAR,DDS,PC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 5231 HICKORY PARK DR SUITE E
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City | GLEN ALLEN
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State | VA
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Zip | 23059
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Country | US
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Telephone | 804-290-8001
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Fax | 804-290-8005
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Provider Business Mailing Address
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Address Line | 5231 HICKORY PARK DR SUITE E
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City | GLEN ALLEN
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State | VA
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Zip | 23059-2619
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Country | US
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Telephone | 804-290-8001
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Fax | 804-290-8005
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Authorized Official
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Title or Position | DENTIST /OWNER
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Name | DR. SHAHREYAR S SAYYAR
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Credential | DDS
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Telephone | 804-290-8001
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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 | 0401008883
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License Number State | VA
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