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General NPI Number Information
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NPI Number | 1831529155
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Entity Type | Organization
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Legal Business Name | DR ZAVARI DENTAL PC
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 1600 SW CEDAR HILLS BLVD SUITE 110
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City | PORTLAND
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State | OR
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Zip | 97229
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Country | US
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Telephone | 503-292-2125
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Fax | 503-200-1935
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Provider Business Mailing Address
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Address Line | 1600 SW CEDAR HILLS BLVD SUITE 110
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City | PORTLAND
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State | OR
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Zip | 97225-5439
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Country | US
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Telephone | 503-292-2125
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Fax | 503-200-1935
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. BITA ZAVARI
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Credential | DMD
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Telephone | 503-292-2125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | D7771
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License Number State | OR
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