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General NPI Number Information
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NPI Number | 1841551991
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Entity Type | Individual
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Provider Name | SAAD FAIZ BAHJAT SAGMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1601 MONTE VISTA AVE STE 210
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City | CLAREMONT
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State | CA
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Zip | 91711-6600
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Country | US
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Telephone | 909-946-2222
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Fax | 909-946-7272
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Provider Business Mailing Address
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Address Line | 1669 HARRISON LN
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City | REDLANDS
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State | CA
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Zip | 92374-4721
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Country | US
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Telephone | 909-800-3344
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 61322
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License Number State | CA
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