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General NPI Number Information
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NPI Number | 1295947760
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Entity Type | Individual
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Provider Name | ROSHANAK HAGHSHENAS DDS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1007 W LA PALMA AVE, SUITE 2
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City | ANAHEIM
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State | CA
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Zip | 92801-3620
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Country | US
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Telephone | 714-490-1231
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Fax | 714-490-0715
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Provider Business Mailing Address
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Address Line | 1007 W LA PALMA AVE, SUITE 2
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City | ANAHEIM
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State | CA
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Zip | 92801-3620
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Country | US
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Telephone | 424-429-9107
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22418
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 103446
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License Number State | CA
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