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General NPI Number Information
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NPI Number | 1023927167
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Entity Type | Individual
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Provider Name | DANIEL KHORAMIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 4654 E AVENUE S STE A
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City | PALMDALE
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State | CA
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Zip | 93552-4454
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Country | US
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Telephone | 818-917-4318
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Fax |
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Provider Business Mailing Address
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Address Line | 17412 VENTURA BLVD # 16
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City | ENCINO
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State | CA
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Zip | 91316-3827
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 113781
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License Number State | CA
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