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General NPI Number Information
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NPI Number | 1629952676
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Entity Type | Individual
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Provider Name | SARA ESKANDARI DDS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 502 W RANDALL ST
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City | COOPERSVILLE
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State | MI
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Zip | 49404-1341
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Country | US
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Telephone | 616-577-7691
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Fax |
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Provider Business Mailing Address
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Address Line | 601 BOND AVE NW UNIT 1413
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-1495
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Country | US
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Telephone | 416-476-1244
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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 | 2901602745
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License Number State | MI
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