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General NPI Number Information
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NPI Number | 1144175860
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY UNLIMITED, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 10884 SANTA MONICA BLVD STE 402
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City | LOS ANGELES
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State | CA
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Zip | 90025-7639
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Country | US
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Telephone | 310-276-3560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16297
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City | BEVERLY HILLS
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State | CA
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Zip | 90209-2297
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Country | US
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Telephone | 310-276-3560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL TAHERI
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Credential | MD
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Telephone | 310-276-3560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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