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General NPI Number Information
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NPI Number | 1427124510
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Entity Type | Individual
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Provider Name | LEYLI AMINIAN TABRIZI DDS
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 7239 VAN NUYS BLVD # 6
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City | VAN NUYS
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State | CA
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Zip | 91405-5863
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Country | US
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Telephone | 818-785-2424
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Fax | 562-633-4998
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Provider Business Mailing Address
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Address Line | 10445 WILSHIRE BLVD SUITE 506
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City | LOS ANGELES
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State | CA
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Zip | 90024-4634
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Country | US
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Telephone | 310-849-8208
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Fax | 310-475-2343
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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 | 42267
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License Number State | CA
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