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NPI 1952775843

NPI 1952775843 : NARIMAAN AHMADI DMD : SANDY SPRINGS, GA

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General NPI Number Information
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    NPI Number           |    1952775843
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    Entity Type          |    Individual 
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    Provider Name        |    NARIMAAN AHMADI DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2015
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    Last Update Date     |    02/04/2019
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Provider Practice Location Address
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    Address Line         |    1100 HAMMOND DR STE 210 
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    City                 |    SANDY SPRINGS
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    State                |    GA
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    Zip                  |    30328-8153
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    Country              |    US
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    Telephone            |    770-399-9300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    425 BEMISS CT 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30022-6650
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    Country              |    US
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    Telephone            |    404-984-0068
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN015105
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    License Number State |    GA
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