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General NPI Number Information
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NPI Number | 1457138877
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Entity Type | Organization
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Legal Business Name | SANDRA NAIROOZ PLLC
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Dates
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Enumeration Date | 09/11/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 2907 N LOOP 1604 E STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1718
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Country | US
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Telephone | 210-905-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 21319 BEAVER BRK
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City | SAN ANTONIO
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State | TX
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Zip | 78260-4893
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Country | US
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Telephone | 714-299-6384
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Fax |
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Authorized Official
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Title or Position | OWNER ORTHODONTIST
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Name | DR. SANDRA NAIROOZ
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Credential | DDS
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Telephone | 210-905-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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