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General NPI Number Information
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NPI Number | 1467924761
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Entity Type | Individual
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Provider Name | ASHLEY SHAHERI DDS
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Gender | Female
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Dates
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Enumeration Date | 12/26/2018
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 28358 S WESTERN AVE
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-1434
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Country | US
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Telephone | 310-894-8337
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Fax |
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Provider Business Mailing Address
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Address Line | 960 N ALFRED ST APT 110
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City | LOS ANGELES
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State | CA
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Zip | 90069-6304
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Country | US
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Telephone | 786-554-7158
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 102982
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License Number State | CA
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