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General NPI Number Information
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NPI Number | 1477445161
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Entity Type | Individual
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Provider Name | NAZANIN ABDEHOO
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 3290 ARENA BLVD STE 610
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City | SACRAMENTO
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State | CA
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Zip | 95834-3003
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Country | US
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Telephone | 916-574-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 7626 WINDBRIDGE DR APT 51
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City | SACRAMENTO
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State | CA
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Zip | 95831-4955
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Country | US
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Telephone | 318-470-8970
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111960
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License Number State | CA
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