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General NPI Number Information
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NPI Number | 1023459856
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Entity Type | Individual
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Provider Name | ARSHAN HAGHI D.M.D
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Gender | Male
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 705 W 9TH ST APT 3106
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City | LOS ANGELES
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State | CA
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Zip | 90015
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Country | US
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Telephone | 310-433-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 705 W 9TH ST APT 3106
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City | LOS ANGELES
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State | CA
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Zip | 90015-1779
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Country | US
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Telephone | 310-433-0043
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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 | DN1856195
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 63670
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 63670
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License Number State | CA
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