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General NPI Number Information
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NPI Number | 1346704681
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Entity Type | Individual
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Provider Name | VANDAD F ASKARI DDS
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Gender | Male
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 5795 WASHINGTON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-7336
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Country | US
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Telephone | 301-572-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 18851 LA AMISTAD PL
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City | TARZANA
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State | CA
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Zip | 91356-5211
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Country | US
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Telephone | 818-631-0027
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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 | 50032
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License Number State | CA
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