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General NPI Number Information
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NPI Number | 1942433206
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Entity Type | Organization
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Legal Business Name | PURVI ZAVERY DDS INC
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 1390 EL CAMINO REAL SUITE 150
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City | SAN CARLOS
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State | CA
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Zip | 94070-5146
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Country | US
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Telephone | 650-740-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CADIZ CIR
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1332
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Country | US
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Telephone | 650-740-5277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PURVI ZAVERY
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Credential | D.D.S
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Telephone | 650-740-5277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 48927
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License Number State | CA
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