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General NPI Number Information
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NPI Number | 1669355707
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Entity Type | Organization
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Legal Business Name | ALIGN&SHINE ORTHODONTICS PLLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2005 N LAKELINE BLVD STE A
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City | CEDAR PARK
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State | TX
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Zip | 78613-2473
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Country | US
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Telephone | 512-590-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 4313 SANDORNA VW
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City | LEANDER
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State | TX
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Zip | 78641-3736
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Country | US
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Telephone | 470-756-3473
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MOHAMMAD MOUSAVI
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Credential |
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Telephone | 470-756-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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