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General NPI Number Information
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NPI Number | 1780729251
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Entity Type | Individual
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Provider Name | BABAK D. NOORBAKHSH DDS
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 2801 DUDLEY AVE STE C
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City | PARKERSBURG
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State | WV
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Zip | 26101-2105
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Country | US
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Telephone | 304-428-2800
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Fax | 304-428-5227
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Provider Business Mailing Address
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Address Line | 2801 DUDLEY AVE STE C
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City | PARKERSBURG
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State | WV
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Zip | 26101-2105
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Country | US
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Telephone | 304-428-2800
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Fax | 304-428-5227
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 30-020834
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3123-105
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License Number State | WV
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