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General NPI Number Information
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NPI Number | 1114223153
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Entity Type | Organization
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Legal Business Name | FARANGIS PARTOVI DDS, INCORPORATED
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 6914 LOS VERDES DR APT 1
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5643
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Country | US
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Telephone | 310-422-9049
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 LOS VERDES DR APT 1
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5643
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Country | US
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Telephone | 310-422-9049
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Fax |
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Authorized Official
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Title or Position | PERIODONTIST
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Name | FARANGIS PARTOVI
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Credential | DDS,MS
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Telephone | 310-422-9049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 46209
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License Number State | CA
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