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General NPI Number Information
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NPI Number | 1215170345
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Entity Type | Organization
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Legal Business Name | FARAH ABBASSI , DMD, MSD, APC
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 2010 E 1ST ST 260
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City | SANTA ANA
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State | CA
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Zip | 92705-4079
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Country | US
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Telephone | 714-543-1800
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Fax | 714-543-1811
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Provider Business Mailing Address
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Address Line | 2010 E 1ST ST 260
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City | SANTA ANA
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State | CA
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Zip | 92705-4079
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Country | US
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Telephone | 714-543-1800
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Fax | 714-543-1811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARAH ABBASSI
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Credential | DMD, MSD
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Telephone | 714-543-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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