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General NPI Number Information
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NPI Number | 1609964147
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Entity Type | Individual
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Provider Name | ALI AKBAR BIPAR D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 4611 E SHEA BLVD STE 107
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City | PHOENIX
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State | AZ
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Zip | 85028-4254
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Country | US
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Telephone | 602-494-1448
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Fax | 602-494-4766
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Provider Business Mailing Address
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Address Line | 4232 E CACTUS RD SUITE #107
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City | PHOENIX
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State | AZ
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Zip | 85032-7602
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Country | US
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Telephone | 602-494-1448
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Fax | 602-494-4766
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 4653
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License Number State | AZ
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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 | 4653
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License Number State | AZ
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