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General NPI Number Information
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NPI Number | 1215038377
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Entity Type | Individual
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Provider Name | JEAN-JACQUES ELBAZ D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 9465 WILSHIRE BLVD STE 321
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2602
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Country | US
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Telephone | 310-274-0456
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Fax | 310-274-0960
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Provider Business Mailing Address
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Address Line | 9465 WILSHIRE BLVD STE 450
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2614
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Country | US
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Telephone | 310-274-0456
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Fax | 310-274-0960
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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 | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 33280
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 33280
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License Number State | CA
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