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General NPI Number Information
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NPI Number | 1417348582
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Entity Type | Organization
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Legal Business Name | YAZDANI & NADIR DDS INC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 2554 E WASHINGTON BLVD
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City | PASADENA
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State | CA
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Zip | 91107-1445
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Country | US
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Telephone | 626-296-0056
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Fax | 626-296-0002
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Provider Business Mailing Address
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Address Line | 2554 E WASHINGTON BLVD
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City | PASADENA
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State | CA
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Zip | 91107-1445
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Country | US
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Telephone | 626-296-0056
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Fax | 626-296-0002
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Authorized Official
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Title or Position | DENTIST
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Name | SHAHLA NADIR
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Credential |
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Telephone | 626-296-0056
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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 | 44744
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License Number State | CA
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