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General NPI Number Information
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NPI Number | 1972641207
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Entity Type | Organization
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Legal Business Name | FARSIO D.D.S, INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18800 MAIN ST STE 209
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1718
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Country | US
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Telephone | 714-847-3513
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Fax | 714-375-2199
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Provider Business Mailing Address
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Address Line | 18800 MAIN ST STE 209
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1718
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Country | US
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Telephone | 714-847-3513
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Fax | 714-375-2199
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FARIBORZ FARSIO
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Credential | DDS
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Telephone | 714-847-3513
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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 |
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License Number State |
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