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General NPI Number Information
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NPI Number | 1730149840
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Entity Type | Individual
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Provider Name | NADER N NAGAVI DDS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 7625 VIA CAMPANILE STE 130
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City | CARLSBAD
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State | CA
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Zip | 92009-8489
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Country | US
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Telephone | 760-633-1653
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Fax |
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Provider Business Mailing Address
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Address Line | 2737 SELMA LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6342
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Country | US
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Telephone | 614-288-6827
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22541
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 21650
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 103569
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License Number State | CA
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