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General NPI Number Information
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NPI Number | 1821512146
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Entity Type | Organization
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Legal Business Name | ARMIN ALIEFENDIC , PLLC
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1710 W. 287 BUSINESS SUITE 140
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City | WAXAHACIE
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State | TX
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Zip | 75165
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Country | US
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Telephone | 972-351-9700
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Fax | 888-222-9544
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Provider Business Mailing Address
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Address Line | 1710 W 287 BUSINESS STE 140
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City | WAXAHACHIE
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State | TX
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Zip | 75165-4733
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Country | US
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Telephone | 972-351-9700
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Fax | 888-222-9544
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ARMIN ALIEFENDIC
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Credential | D.D.S.
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Telephone | 972-351-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 31002
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License Number State | TX
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