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NPI 1225823594

NPI 1225823594 : NOAH KORAYM, DDS, INC. : LOS ALAMITOS, CA

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General NPI Number Information
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    NPI Number           |    1225823594
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOAH KORAYM, DDS, INC. 
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Dates
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    Enumeration Date     |    04/09/2025
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    Last Update Date     |    04/09/2025
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Provider Practice Location Address
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    Address Line         |    11162 LOS ALAMITOS BLVD 
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    City                 |    LOS ALAMITOS
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    State                |    CA
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    Zip                  |    90720-3621
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    Country              |    US
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    Telephone            |    562-598-8604
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2852 KEMPTON DR 
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    City                 |    LOS ALAMITOS
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    State                |    CA
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    Zip                  |    90720-4660
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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    |    ORAL SURGEON
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    Name                 |     NOAH  KORAYM 
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    Credential           |    DDS
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    Telephone            |    937-321-6285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery Clinic/Center
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    License Number       |    
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    License Number State |    
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