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General NPI Number Information
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NPI Number | 1427175561
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Entity Type | Individual
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Provider Name | ROYA GHAHRAMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1240 S WESTLAKE BLVD STE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-6205
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Country | US
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Telephone | 410-262-2868
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 S WESTLAKE BLVD STE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-6205
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Country | US
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Telephone | 410-262-2868
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DEN1000527
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 13499
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 60033
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License Number State | CA
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