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General NPI Number Information
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NPI Number | 1467187708
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Entity Type | Organization
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Legal Business Name | DANYALI PLLC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 5509 PLEASANT VALLEY DR STE 200
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City | PLANO
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State | TX
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Zip | 75023-5249
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Country | US
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Telephone | 469-892-0652
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Fax |
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Provider Business Mailing Address
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Address Line | 5509 PLEASANT VALLEY DR STE 200
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City | PLANO
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State | TX
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Zip | 75023-5249
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Country | US
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Telephone | 469-892-0652
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MARYAM DANYALI
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Credential | DMD
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Telephone | 469-471-4291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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