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General NPI Number Information
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NPI Number | 1063228377
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Entity Type | Individual
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Provider Name | SHANEL SHIREEN KASHEF
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1590 ROSECRANS AVE STE N
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3723
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Country | US
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Telephone | 310-643-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 WOODBOROUGH RD
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City | LAFAYETTE
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State | CA
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Zip | 94549-2634
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Country | US
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Telephone | 510-501-4454
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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 | 110707
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License Number State | CA
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