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General NPI Number Information
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NPI Number | 1760698922
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Entity Type | Individual
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Provider Name | SARA SOLEIMANI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 1447 CEDARWOOD LN STE B
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City | PLEASANTON
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State | CA
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Zip | 94566-6140
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Country | US
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Telephone | 253-223-4117
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Fax |
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Provider Business Mailing Address
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Address Line | 1447 CEDARWOOD LN STE B
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City | PLEASANTON
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State | CA
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Zip | 94566-6140
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Country | US
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Telephone | 253-223-4117
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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 | DE00010607
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 57134
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License Number State | CA
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