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General NPI Number Information
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NPI Number | 1497046023
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Entity Type | Organization
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Legal Business Name | CYRUS A. SALEHI, DDS, INC.
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Dates
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Enumeration Date | 05/01/2011
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Last Update Date | 05/01/2011
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Provider Practice Location Address
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Address Line | 127 E H ST
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City | BENICIA
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State | CA
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Zip | 94510-3230
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Country | US
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Telephone | 707-747-0728
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Fax | 707-747-9728
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Provider Business Mailing Address
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Address Line | 127 E H ST
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City | BENICIA
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State | CA
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Zip | 94510-3230
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Country | US
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Telephone | 707-747-0728
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Fax | 707-747-9728
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Authorized Official
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Title or Position | OWNER
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Name | DR. CYRUS SALEHI
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Credential | DDS
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Telephone | 415-298-9450
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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 | 54028
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License Number State | CA
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