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General NPI Number Information
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NPI Number | 1174294052
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Entity Type | Individual
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Provider Name | LIANNA DAMARGI
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 2650 GRIFFITH PARK BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90039-2520
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Country | US
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Telephone | 323-660-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 533 CLAYTON AVE
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City | VESTAL
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State | NY
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Zip | 13850-3105
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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 | 063637
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License Number State | NY
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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 | DS043388
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License Number State | PA
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