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General NPI Number Information
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NPI Number | 1083296339
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Entity Type | Organization
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Legal Business Name | HAKIMZADEH & REYHANI DENTAL OFFICE OF CERRITOS. INC.
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 20106 PIONEER BLVD STE A&B
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City | CERRITOS
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State | CA
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Zip | 90703-7400
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Country | US
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Telephone | 562-474-1221
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Fax | 562-381-8187
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Provider Business Mailing Address
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Address Line | 20106 PIONEER BLVD STE A&B
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City | CERRITOS
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State | CA
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Zip | 90703-7400
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Country | US
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Telephone | 562-474-1221
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Fax | 562-381-8187
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Authorized Official
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Title or Position | AUDITOR
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Name | CAROLINA NAPOLES
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Credential |
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Telephone | 562-688-3852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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