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General NPI Number Information
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NPI Number | 1902119001
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Entity Type | Individual
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Provider Name | MANA SARAGHI DMD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2010
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Last Update Date | 05/08/2016
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Provider Practice Location Address
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Address Line | 7 WOODFERN CT
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City | DIX HILLS
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State | NY
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Zip | 11746
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Country | US
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Telephone | 631-404-8184
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WOODFERN CT
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City | DIX HILLS
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State | NY
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Zip | 11746
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Country | US
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Telephone | 631-404-8184
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 50 057589
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License Number State | NY
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