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General NPI Number Information
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NPI Number | 1548801657
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Entity Type | Organization
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Legal Business Name | NAVID FARZADFAR DDS PLLC
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 8575 164TH AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-3679
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Country | US
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Telephone | 425-885-3010
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Fax | 425-882-0373
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Provider Business Mailing Address
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Address Line | 8575 164TH AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-3679
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Country | US
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Telephone | 425-885-3010
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Fax | 425-882-0373
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | KARLA LOBO
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Credential |
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Telephone | 503-329-3670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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