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General NPI Number Information
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NPI Number | 1649765892
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Entity Type | Organization
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Legal Business Name | SAM SAFADI DDS MS PLLC
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Dates
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Enumeration Date | 06/28/2018
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 121 EDINBURGH SOUTH DR STE 101
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City | CARY
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State | NC
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Zip | 27511-6490
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Country | US
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Telephone | 919-434-0177
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Fax | 919-800-3995
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Provider Business Mailing Address
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Address Line | 121 EDINBURGH SOUTH DR STE 101
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City | CARY
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State | NC
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Zip | 27511-6490
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Country | US
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Telephone | 919-434-0177
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Fax | 919-800-3995
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Authorized Official
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Title or Position | MANAGER, CEO
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Name | SAM SAFADI
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Credential |
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Telephone | 919-388-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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