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NPI 1578716254

NPI 1578716254 : NILOFUR JARIWALLA ALFI D.D.S. : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1578716254
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    Entity Type          |    Individual 
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    Provider Name        |    NILOFUR JARIWALLA ALFI D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/28/2008
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    Last Update Date     |    09/06/2012
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Provider Practice Location Address
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    Address Line         |    5927 ALMEDA RD # 2202 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77004-7791
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    Country              |    US
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    Telephone            |    305-951-1282
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5927 ALMEDA RD # 2202 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77004-7791
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    Country              |    US
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    Telephone            |    305-951-1282
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    054693
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    27956
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    License Number State |    TX
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