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General NPI Number Information
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NPI Number | 1447656707
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Entity Type | Organization
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Legal Business Name | NADER AHDOUT D.D.S. INC
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 22116 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1648
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Country | US
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Telephone | 818-340-3062
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Fax |
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Provider Business Mailing Address
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Address Line | 22116 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NADER AHDOUT
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Credential | D.D.S.
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Telephone | 818-340-3062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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