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General NPI Number Information
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NPI Number | 1912986910
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Entity Type | Individual
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Provider Name | SAEED EPAKCHI DMD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 124 MAIN ST SUITE 15
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City | HUNTINGTON
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State | NY
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Zip | 11743-6922
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Country | US
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Telephone | 631-271-2310
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Fax | 631-271-2429
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Provider Business Mailing Address
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Address Line | 14 SEA CREST DRIVE SUITE 15
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City | LLOYD NECK
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State | NY
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Zip | 11743
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Country | US
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Telephone | 631-424-0427
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Fax | 631-424-3602
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 044977
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License Number State | NY
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