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General NPI Number Information
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NPI Number | 1821977604
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Entity Type | Individual
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Provider Name | ALI HADIAN AMREI
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Gender | Male
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 100 NEWTON ST
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City | BOSTON
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State | MA
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Zip | 02118-3552
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Country | US
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Telephone | 860-593-1432
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E NEWTON ST
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City | BOSTON
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State | MA
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Zip | 02118-3552
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DL100910
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License Number State | MA
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