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General NPI Number Information
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NPI Number | 1871088971
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Entity Type | Individual
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Provider Name | RAMAN EMANUEL NAZARI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/30/2018
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Last Update Date | 02/16/2023
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Provider Practice Location Address
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Address Line | 1670 HILLSDALE AVE STE 20
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City | SAN JOSE
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State | CA
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Zip | 95124-3241
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Country | US
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Telephone | 408-377-3214
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Fax | 408-377-3288
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Provider Business Mailing Address
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Address Line | 1574 SUNNYVALE AVE APT 35
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City | WALNUT CREEK
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State | CA
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Zip | 94597-1929
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Country | US
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Telephone | 408-599-8029
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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 | DDS102627
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License Number State | CA
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