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General NPI Number Information
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NPI Number | 1588748362
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Entity Type | Organization
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Legal Business Name | SAHAR W TAWFIK DDS INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 601 VAN NESS AVENUE SUITE 2020
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-441-4933
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Fax | 415-441-4933
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Provider Business Mailing Address
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Address Line | 601 VAN NESS AVENUE SUITE 2020
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-441-4933
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Fax | 415-441-4933
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAHAR W TAWFIK
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Credential |
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Telephone | 650-917-9603
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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 | 42502
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 42502
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License Number State | CA
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