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General NPI Number Information
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NPI Number | 1114537602
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Entity Type | Individual
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Provider Name | AKBAR KHORSHIDI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/09/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | PO BOX 441
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City | BURBANK
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State | CA
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Zip | 91503-0441
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Country | US
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Telephone | 760-666-5066
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 564
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City | SAN MARCOS
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State | CA
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Zip | 92079-0564
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Country | US
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Telephone |
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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 | D012627
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License Number State | AZ
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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 | 39200
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 39200
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 105153
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License Number State | CA
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