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General NPI Number Information
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NPI Number | 1508460742
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Entity Type | Individual
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Provider Name | NAZLIE TAHERI DDS
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Gender | Female
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3083 SOLANO AVE
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City | NAPA
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State | CA
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Zip | 94558-4510
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Country | US
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Telephone | 707-257-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 3 TOSCANA DR
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City | AMERICAN CANYON
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State | CA
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Zip | 94503-1470
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Country | US
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Telephone | 415-900-7362
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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 | 40831
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 105220
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License Number State | CA
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