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General NPI Number Information
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NPI Number | 1427345750
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Entity Type | Individual
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Provider Name | DEEMA MARIA DAHER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2011
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 100
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1718
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Country | US
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Telephone | 818-783-5234
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SW 62ND BLVD #113
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City | GAINESVILLE
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State | FL
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Zip | 32607-6012
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Country | US
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Telephone | 310-574-2993
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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 | 1018
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License Number State | FL
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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 | 62309
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License Number State | CA
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