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General NPI Number Information
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NPI Number | 1275389652
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Entity Type | Organization
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Legal Business Name | TARA NAKJIRI,DDS.INC
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 436 N ROXBURY DR STE NPH
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5026
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Country | US
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Telephone | 310-271-0461
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Fax | 310-271-1821
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Provider Business Mailing Address
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Address Line | 436 N ROXBURY DR STE NPH
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5026
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Country | US
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Telephone | 310-271-0461
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. TARA NAKJIRI
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Credential | DDS
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Telephone | 310-666-0672
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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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