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General NPI Number Information
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NPI Number | 1790914364
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Entity Type | Individual
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Provider Name | BABAK NOOHI DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 07/04/2009
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 499 S CAPITOL ST SW SUITE 109
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City | WASHINGTON
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State | DC
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Zip | 20003-4013
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Country | US
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Telephone | 202-484-5686
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Fax | 202-484-8617
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Provider Business Mailing Address
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Address Line | 217 SWANTON LANE
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City | GAITHERSBURG
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State | MD
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Zip | 20878-5876
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Country | US
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Telephone | 301-355-4563
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 13966
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DEN1000853
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License Number State | DC
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