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General NPI Number Information
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NPI Number | 1760026579
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Entity Type | Individual
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Provider Name | GELAREH ARYAFAR DMD
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 11020 AIRLINE DR
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City | HOUSTON
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State | TX
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Zip | 77037-1112
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Country | US
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Telephone | 281-272-1959
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Fax |
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Provider Business Mailing Address
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Address Line | 2724 KIPLING ST APT 739
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City | HOUSTON
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State | TX
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Zip | 77098-1774
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Country | US
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Telephone | 617-755-1027
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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 | 35789
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 107478
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License Number State | CA
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