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General NPI Number Information
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NPI Number | 1568674471
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Entity Type | Organization
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Legal Business Name | NINA KIANI DDS P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 225 WEST 34TH STREET 14 PENN PLAZA
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City | NEW YORK
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State | NY
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Zip | 10122-1314
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Country | US
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Telephone | 212-279-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 343 EAST 30TH STREET STE 16M
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City | NEW YORK
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State | NY
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Zip | 10016-6441
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Country | US
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Telephone | 212-889-6020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NINA KIANI
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Credential | D.D.S.
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Telephone | 212-889-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 43975
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License Number State | NY
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