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General NPI Number Information
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NPI Number | 1528463957
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Entity Type | Individual
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Provider Name | PARISA ZAKIZADEH DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 885 CANARIOS COURT #208
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City | CHULA VISTA
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State | CA
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Zip | 91910
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Country | US
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Telephone | 619-421-3374
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Fax | 619-421-3410
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Provider Business Mailing Address
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Address Line | 10601 G TIERRASANTA BLVD. #253
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City | SAN DIEGO
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State | CA
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Zip | 92124-2605
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Country | US
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Telephone | 858-229-7745
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 45220
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License Number State | CA
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