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General NPI Number Information
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NPI Number | 1619130762
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Entity Type | Individual
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Provider Name | AFSANEH SAMIMI NOORI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 501 28TH ST
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City | DENVER
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State | CO
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Zip | 80205-3003
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Country | US
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Telephone | 303-436-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 345 FILLMORE ST UNIT 201
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City | DENVER
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State | CO
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Zip | 80206-4358
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Country | US
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Telephone | 317-532-7443
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10379
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License Number State | CO
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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 | 12011370A
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License Number State | IN
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