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General NPI Number Information
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NPI Number | 1699254540
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Entity Type | Individual
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Provider Name | ZIA FAIZI
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Gender | Male
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Dates
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Enumeration Date | 08/11/2018
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Last Update Date | 08/11/2018
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Provider Practice Location Address
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Address Line | 1407 W 29TH ST
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City | PUEBLO
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State | CO
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Zip | 81008-1269
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Country | US
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Telephone | 719-546-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 931 FRASER ST
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City | AURORA
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State | CO
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Zip | 80011-7032
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Country | US
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Telephone | 720-461-0334
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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 | 00203712
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License Number State | CO
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