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General NPI Number Information
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NPI Number | 1124911359
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Entity Type | Individual
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Provider Name | AMIR OZHAN KASHKOOLI DMD
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Gender | Male
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 27450 YNEZ RD STE 204
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City | TEMECULA
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State | CA
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Zip | 92591-4681
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Country | US
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Telephone | 949-351-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 32073 VIA SALTIO
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City | TEMECULA
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State | CA
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Zip | 92592-1077
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Country | US
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Telephone | 949-351-3574
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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 | 111549
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License Number State | CA
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