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General NPI Number Information
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NPI Number | 1750642294
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Entity Type | Organization
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Legal Business Name | PERFECT DENTAL CARE LLC
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 3531 RIDGELAKE DR
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City | METAIRIE
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State | LA
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Zip | 70002-3615
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Country | US
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Telephone | 504-831-3390
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Fax | 504-831-3391
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Provider Business Mailing Address
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Address Line | 3531 RIDGELAKE DR
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City | METAIRIE
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State | LA
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Zip | 70002-3615
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Country | US
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Telephone | 504-831-3390
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Fax | 504-831-3391
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAHAR I ELNAJJAR
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Credential | DDS
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Telephone | 504-831-3390
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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 | 5852
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License Number State | LA
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