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General NPI Number Information
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NPI Number | 1437926748
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Entity Type | Organization
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Legal Business Name | DENTAL OFFICE OF HAROUNI AND ELGRICHI
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 14621 NORDHOFF ST
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1829
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Country | US
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Telephone | 818-891-1761
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Fax |
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Provider Business Mailing Address
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Address Line | 15111 WHITTIER BLVD STE 101-A
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City | WHITTIER
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State | CA
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Zip | 90603-2136
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Country | US
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Telephone | 310-903-2658
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | DR. NIMA HAROUNI
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Credential | DDS
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Telephone | 310-903-2658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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