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General NPI Number Information
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NPI Number | 1770804742
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Entity Type | Organization
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Legal Business Name | PARSANGI DENTAL CORPORATION
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 5321 UNIVERSITY DR STE A
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City | IRVINE
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State | CA
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Zip | 92612-2942
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Country | US
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Telephone | 949-653-2244
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Fax |
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Provider Business Mailing Address
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Address Line | 5321 UNIVERSITY DR STE A
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City | IRVINE
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State | CA
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Zip | 92612-2942
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Country | US
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Telephone | 949-653-2244
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEGAH PARSANGI
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Credential | DDS
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Telephone | 949-653-2244
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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 | 43292
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License Number State | CA
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