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General NPI Number Information
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NPI Number | 1659864254
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Entity Type | Individual
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Provider Name | DR. MOHAMMAD HEMMATIAN
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Gender | Male
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 8455 FANNIN ST STE A
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City | HOUSTON
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State | TX
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Zip | 77054-4805
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Country | US
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Telephone | 703-340-9342
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 VARNUM ST NE STE 6
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City | WASHINGTON
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State | DC
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Zip | 20017-2110
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Country | US
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Telephone | 202-854-7103
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Fax | 202-635-7145
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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 | 34100
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License Number State | TX
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