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General NPI Number Information
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NPI Number | 1588533855
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Entity Type | Organization
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Legal Business Name | AZAR ENDODONTICS PLLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 11207 WILD PNE STE 204
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City | SAN ANTONIO
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State | TX
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Zip | 78253-7293
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Country | US
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Telephone | 210-236-8968
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Fax |
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Provider Business Mailing Address
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Address Line | 117 VAMANOS
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City | BOERNE
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State | TX
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Zip | 78006-2772
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Country | US
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Telephone | 832-455-4829
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Fax |
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Authorized Official
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Title or Position | OWNER/ENDODONTIST
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Name | PARDIS SOLEIMANZADEH AZAR
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Credential | DDS
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Telephone | 832-455-4920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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