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General NPI Number Information
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NPI Number | 1609025766
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Entity Type | Individual
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Provider Name | MARYAM KASHANI-NAGHI DDS
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Gender | Female
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Dates
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Enumeration Date | 09/14/2008
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 3156 STEINWAY ST
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City | ASTORIA
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State | NY
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Zip | 11103
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Country | US
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Telephone | 718-721-4700
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Fax | 718-204-5641
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Provider Business Mailing Address
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Address Line | 10510 62ND RD APT 1F
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City | FOREST HILLS
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State | NY
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Zip | 11375-1122
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Country | US
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Telephone | 917-291-2575
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 50053990
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License Number State | NY
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