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General NPI Number Information
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NPI Number | 1437439536
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Entity Type | Individual
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Provider Name | AMIR H ASSEFNIA DDS, MS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 7417 ATHERTON LN
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City | WEST HILLS
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State | CA
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Zip | 91304-5213
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Country | US
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Telephone | 818-618-6282
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Fax |
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Provider Business Mailing Address
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Address Line | 7417 ATHERTON LN
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City | WEST HILLS
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State | CA
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Zip | 91304-5213
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Country | US
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Telephone | 818-618-6282
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 61115
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License Number State | CA
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