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General NPI Number Information
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NPI Number | 1083898985
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Entity Type | Individual
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Provider Name | SOHAIR F MICHAEL D.D.S
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 7600 SEVILLE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-6030
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Country | US
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Telephone | 323-585-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 16161 GALLATIN ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1439
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Country | US
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Telephone | 714-839-7620
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 40857
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License Number State | CA
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