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General NPI Number Information
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NPI Number | 1033641113
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Entity Type | Organization
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Legal Business Name | A&Y SOLEIMANI, DDS, INC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 2941 COCHRAN ST STE 8
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2789
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Country | US
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Telephone | 805-526-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2941 COCHRAN STREET
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City | SIMI VALLEY
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State | CA
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Zip | 93065
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Country | US
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Telephone | 805-526-1000
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOHANNA P HANSEN
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Credential |
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Telephone | 805-526-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 62127
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License Number State | CA
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