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General NPI Number Information
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NPI Number | 1447550215
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Entity Type | Organization
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Legal Business Name | EBRAHIMI DENTAL MANAGEMENT LLC
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 6915 ANTOINE DRIVE STE 200
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City | HOUSTON
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State | TX
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Zip | 77091-1214
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Country | US
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Telephone | 832-288-4090
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Fax | 281-741-7406
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Provider Business Mailing Address
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Address Line | 1901 POST OAK BLVD 4210
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City | HOUSTON
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State | TX
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Zip | 77056-3868
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Country | US
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Telephone | 281-217-7492
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Fax | 281-888-2299
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FADI TATARI
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Credential | DDS
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Telephone | 281-217-7492
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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 | 19937
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License Number State | TX
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