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General NPI Number Information
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NPI Number | 1457974594
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Entity Type | Organization
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Legal Business Name | RAFIE & KHOSHBIN DENTAL CORP
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Dates
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Enumeration Date | 05/23/2020
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Last Update Date | 05/23/2020
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Provider Practice Location Address
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Address Line | 21150 HAWTHORNE BLVD STE 101
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City | TORRANCE
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State | CA
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Zip | 90503-4617
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Country | US
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Telephone | 310-371-0777
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Fax | 310-861-8882
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Provider Business Mailing Address
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Address Line | 21150 HAWTHORNE BLVD STE 101
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City | TORRANCE
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State | CA
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Zip | 90503-4617
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Country | US
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Telephone | 310-371-0777
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Fax | 310-861-8882
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Authorized Official
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Title or Position | OWNER
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Name | KAMRAN RAFIE
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Credential | DDS
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Telephone | 310-927-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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