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General NPI Number Information
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NPI Number | 1740285014
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Entity Type | Individual
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Provider Name | ROBERT NAFFAH DDS
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 2916 N US HIGHWAY 75 900-A
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City | SHERMAN
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State | TX
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Zip | 75090-2546
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Country | US
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Telephone | 903-487-0349
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 W STATE HIGHWAY 114 STE 500-321
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City | GRAPEVINE
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State | TX
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Zip | 76051-8646
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Country | US
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Telephone | 310-993-5500
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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 | 48519
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DD4330
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License Number State | NM
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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 | 7045
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19200
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3964
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License Number State | AZ
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