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General NPI Number Information
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NPI Number | 1548928633
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Entity Type | Organization
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Legal Business Name | KERMAN DENTAL LLC
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 2021 K ST NW STE 820
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-465-2143
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 K ST NW STE 820
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City | WASHINGTON
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State | DC
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Zip | 20006-1003
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Country | US
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Telephone | 202-465-2143
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ZOE ROUHI
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Credential |
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Telephone | 202-465-2143
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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 |
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License Number State |
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