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General NPI Number Information
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NPI Number | 1508184417
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Entity Type | Individual
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Provider Name | FIROUZ JAMES ABADI DMD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 7033 BURLINGTON PIKE STE 1
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City | FLORENCE
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State | KY
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Zip | 41042-1600
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Country | US
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Telephone | 502-244-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 1454 MEADOWLAKE WAY
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City | UNION
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State | KY
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Zip | 41091-7120
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Country | US
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Telephone | 859-421-7000
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8944
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License Number State | KY
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