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General NPI Number Information
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NPI Number | 1740177096
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Entity Type | Individual
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Provider Name | PAZLIDDIN KOBILOV DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 175 ARSENAL ST # 20991
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City | WATERTOWN
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State | NY
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Zip | 13601-2528
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Country | US
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Telephone | 315-785-9620
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Fax |
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Provider Business Mailing Address
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Address Line | 133 JORDYN'S CRT
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City | AMHERSTVIEW
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State | ON
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Zip | K7N0A7
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Country | CA
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Telephone |
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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 | DEN.00205835
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License Number State | CO
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