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General NPI Number Information
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NPI Number | 1497939508
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Entity Type | Organization
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Legal Business Name | FARZAD SANI, DDS,PC
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 88 BROAD STREET
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City | GLENS FALLS
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State | NY
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Zip | 12801
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Country | US
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Telephone | 518-798-9966
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Fax | 518-798-0616
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Provider Business Mailing Address
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Address Line | 88 BROAD STREET
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City | GLENS FALLS
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State | NY
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Zip | 12801
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Country | US
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Telephone | 518-798-9966
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Fax | 518-798-0616
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. FARZAD SANI
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Credential | DDS
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Telephone | 518-798-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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