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General NPI Number Information
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NPI Number | 1447559273
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Entity Type | Individual
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Provider Name | FARKHONDEH ARBABI RDHAP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 29302 TROON ST
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1637
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Country | US
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Telephone | 949-212-3732
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Fax | 949-481-7947
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Provider Business Mailing Address
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Address Line | 29302 TROON ST
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1637
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Country | US
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Telephone | 949-212-3732
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Fax | 949-481-7947
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 21811
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License Number State | CA
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