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General NPI Number Information
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NPI Number | 1922806843
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Entity Type | Individual
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Provider Name | SARAH ASIF BDS, MSD
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1540 CORNERSTONE BLVD STE 100
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-7144
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Country | US
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Telephone | 386-202-1713
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Fax |
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Provider Business Mailing Address
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Address Line | 11131 FALLGATE POINT CT
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City | JACKSONVILLE
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State | FL
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Zip | 32256-4833
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Country | US
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Telephone | 571-394-1542
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN29768
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 41006
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License Number State | TX
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