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General NPI Number Information
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NPI Number | 1437319035
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Entity Type | Individual
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Provider Name | KIAVASH KEVIN BADII DDS, MDS
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 1424 S EUCLID ST
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City | FULLERTON
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State | CA
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Zip | 92832-3152
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Country | US
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Telephone | 714-441-1414
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Fax | 714-441-1445
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Provider Business Mailing Address
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Address Line | 24896 CHRISANTA DR
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4800
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Country | US
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Telephone | 949-461-0000
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Fax | 949-461-0030
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 54538
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License Number State | CA
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