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1821021916 NPI number — FARZANEH KESHMIRI DDS, PA

NPI Number: 1821021916
Health Care Provider/Practitioner: FARZANEH KESHMIRI DDS, PA

Information about “1821021916” NPI (FARZANEH KESHMIRI DDS, PA) exists in 1821021916 in HTML format HTML  |  1821021916 in plain Text format TXT  |  1821021916 in PDF (Portable Document Format) PDF  |  1821021916 in an XML format XML  formats.

NPI Number : 1821021916 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821021916",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KESHMIRI",
    "FirstName": "FARZANEH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS, PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KESHMIRI-SANCHEZ",
    "OtherFirstName": "FARZANEH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS, PA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5641 POPLAR TENT RD",
    "SecondLineMailingAddress": "SUITE 203",
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28027-7533",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-793-4211",
    "MailingAddressFaxNumber": "704-793-4210",
    "FirstLinePracticeLocationAddress": "5641 POPLAR TENT RD",
    "SecondLinePracticeLocationAddress": "SUITE 203",
    "PracticeLocationAddressCityName": "CONCORD",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28027-7533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "704-793-4211",
    "PracticeLocationAddressFaxNumber": "704-793-4210",
    "EnumerationDate": "07/09/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "6147",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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