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General NPI Number Information
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NPI Number | 1518066422
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Entity Type | Individual
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Provider Name | FARIBORZ FARSIO DDS
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 31 E MACARTHUR CRES SUITE 109
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City | SANTA ANA
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State | CA
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Zip | 92707-5932
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Country | US
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Telephone | 714-549-1248
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Fax | 714-549-1246
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Provider Business Mailing Address
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Address Line | 18800 MAIN ST STE 209
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1718
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Country | US
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Telephone | 714-847-3513
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Fax | 714-375-2199
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 46057
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License Number State | CA
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