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General NPI Number Information
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NPI Number | 1720494784
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Entity Type | Individual
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Provider Name | SAMIRA SALARI D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 3535 PIEDMONT RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30305-1518
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Country | US
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Telephone | 404-816-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 PIEDMONT RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30305-1518
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Country | US
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Telephone | 404-816-9665
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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 | DL12224
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019.030288
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DN122421
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License Number State | GA
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