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General NPI Number Information
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NPI Number | 1457680134
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Entity Type | Organization
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Legal Business Name | YAZDAN ALAMI, DDS, A PROF. CORP
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 368 KANAN RD
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City | OAK PARK
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State | CA
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Zip | 91377-1111
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Country | US
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Telephone | 818-889-5440
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Fax | 818-889-4016
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Provider Business Mailing Address
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Address Line | 368 KANAN RD
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City | OAK PARK
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State | CA
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Zip | 91377-1111
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Country | US
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Telephone | 818-889-5440
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Fax | 818-889-4016
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | YAZDAN ALAMI
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Credential | D.D.S.
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Telephone | 818-889-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 49445
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License Number State | CA
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