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General NPI Number Information
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NPI Number | 1376941179
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Entity Type | Individual
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Provider Name | AMIR PASHA FARNAGHI DDS
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Gender | Male
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 6950 N PARAMOUNT BLVD
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City | LONG BEACH
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State | CA
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Zip | 90805-1863
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Country | US
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Telephone | 562-278-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 4415 SPECTRUM
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City | IRVINE
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State | CA
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Zip | 92618-3384
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Country | US
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Telephone | 949-300-1319
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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 | 29585
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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 | 105636
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License Number State | CA
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