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General NPI Number Information
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NPI Number | 1033345525
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Entity Type | Organization
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Legal Business Name | EDDIE HAROUNI, D.D.S.,INC.
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 10921 WILSHIRE BLVD SUITE 807
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City | LOS ANGELES
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State | CA
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Zip | 90024-3906
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Country | US
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Telephone | 310-209-5050
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Fax | 310-209-5550
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Provider Business Mailing Address
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Address Line | 10921 WILSHIRE BLVD SUITE 807
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City | LOS ANGELES
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State | CA
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Zip | 90024-3906
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Country | US
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Telephone | 310-209-5050
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Fax | 310-209-5550
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDDIE HAROUNI
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Credential |
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Telephone | 310-209-5050
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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 | 38194
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License Number State | CA
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