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General NPI Number Information
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NPI Number | 1194531749
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Entity Type | Organization
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Legal Business Name | HAROUNI DDS OMFS, INC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 841 MOHAWK ST # 130
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1506
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Country | US
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Telephone | 661-835-7389
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 CAMDEN AVE PH 1
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City | LOS ANGELES
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State | CA
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Zip | 90025-3447
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Country | US
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Telephone | 310-927-6461
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Fax |
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. SAMAN HAROUNI
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Credential | DDS
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Telephone | 310-927-6461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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