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General NPI Number Information
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NPI Number | 1366875080
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Entity Type | Organization
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Legal Business Name | VAHID BABAEIAN
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 12102 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-2310
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Country | US
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Telephone | 562-861-7259
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Fax | 562-861-4994
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Provider Business Mailing Address
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Address Line | 12102 PARAMOUNT BLVD
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City | DOWNEY
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State | CA
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Zip | 90242-2310
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Country | US
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Telephone | 562-861-7259
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Fax | 562-861-4994
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAHID BABAEIAN
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Credential | D.D.S.
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Telephone | 562-861-7259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 41815
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License Number State | CA
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