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General NPI Number Information
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NPI Number | 1669016796
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Entity Type | Individual
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Provider Name | JOHN JAFARIAN DDS, PERIODONTIST
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Gender | Male
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2375 MURFREESBORO PIKE
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City | NASHVILLE
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State | TN
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Zip | 37217-3314
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Country | US
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Telephone | 615-278-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 191 S PERKINS RD
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City | MEMPHIS
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State | TN
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Zip | 38117-3213
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Country | US
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Telephone | 615-278-6445
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 11173
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 4646
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 11173
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License Number State | TN
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