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General NPI Number Information
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NPI Number | 1083774863
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Entity Type | Organization
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Legal Business Name | LABIB SINAT FAMILY DENTISTRY INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8704 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035
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Country | US
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Telephone | 310-854-6565
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Fax | 310-854-0505
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Provider Business Mailing Address
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Address Line | 8704 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035
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Country | US
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Telephone | 310-854-6565
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Fax | 310-854-0505
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. FARSHAD LABIB
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Credential | DDS
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Telephone | 310-854-6565
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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 | 39172
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40811
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License Number State | CA
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