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General NPI Number Information
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NPI Number | 1770032930
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Entity Type | Individual
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Provider Name | AFRA SALEH D.D.S.,
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Gender | Female
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1717 AIRPORT FWY
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City | BEDFORD
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State | TX
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Zip | 76021-5731
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Country | US
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Telephone | 817-540-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 ELECTRA DR
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City | ALLEN
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State | TX
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Zip | 75013-5556
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Country | US
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Telephone | 310-218-7154
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 32412
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 32412
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License Number State | TX
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