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General NPI Number Information
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NPI Number | 1780432989
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Entity Type | Individual
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Provider Name | SARA SANJARI DDS
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Gender | Female
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3999 SAN PABLO AVE
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City | EMERYVILLE
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State | CA
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Zip | 94608-3637
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Country | US
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Telephone | 510-992-5302
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BERGEN ST
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City | NEWARK
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State | NJ
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Zip | 07103-2495
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Country | US
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Telephone |
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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 | 22DI03044600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111545
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License Number State | CA
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