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General NPI Number Information
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NPI Number | 1215225776
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Entity Type | Organization
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Legal Business Name | NAGHMEH JAVAHERIAN DDS INC
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD. SUITE: 407
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City | ENCINO
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State | CA
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Zip | 91436
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Country | US
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Telephone | 818-997-4528
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Fax | 818-788-2076
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD. STE: 407
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City | ENCINO
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State | CA
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Zip | 91436
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Country | US
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Telephone | 818-997-4528
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Fax | 818-788-2076
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Authorized Official
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Title or Position | DENTIST
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Name | NAGHMEH JAVAHERIAN
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Credential | DDS
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Telephone | 818-997-4528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42333
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License Number State |
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