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General NPI Number Information
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NPI Number | 1578915302
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Entity Type | Individual
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Provider Name | SARA ANJUM DDS
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Gender | Female
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 689 E REMINGTON DR
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City | SUNNYVALE
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State | CA
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Zip | 94087-1978
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Country | US
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Telephone | 408-739-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 3362 HOMESTEAD RD
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City | SANTA CLARA
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State | CA
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Zip | 95051-5120
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Country | US
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Telephone | 209-675-1000
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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 | DDS100213
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License Number State | CA
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