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General NPI Number Information
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NPI Number | 1578944823
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Entity Type | Individual
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Provider Name | NAZNEEN REHAN JAFFRI DDS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 286 MADISON AVE STE 1000
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City | NEW YORK
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State | NY
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Zip | 10017-6381
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Country | US
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Telephone | 212-337-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 350 W 50TH ST APT# 6N
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City | NEW YORK
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State | NY
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Zip | 10019-6664
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Country | US
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Telephone | 917-886-9048
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 058875
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License Number State | NY
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