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General NPI Number Information
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NPI Number | 1639481849
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Entity Type | Individual
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Provider Name | BASHIR HOSSEINI D.D.S., MS
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Gender | Male
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 572 SANDHURST DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4426
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Country | US
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Telephone | 910-485-3636
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Fax | 910-222-9401
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Provider Business Mailing Address
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Address Line | 572 SANDHURST DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-4426
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Country | US
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Telephone | 910-485-3636
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Fax | 910-222-9401
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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 | 8987
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 6544
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6544
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License Number State | NC
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