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General NPI Number Information
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NPI Number | 1912127895
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Entity Type | Individual
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Provider Name | BEHZAD GARAGOZLOO DDS
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1985 CENTRAL EXPY N STE 110
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City | ALLEN
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State | TX
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Zip | 75013-1158
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Country | US
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Telephone | 520-878-6198
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 W LONE DOVE DR
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City | MARANA
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State | AZ
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Zip | 85658-4522
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Country | US
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Telephone | 520-878-6198
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | S7-64
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8884
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 41317
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License Number State | TX
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