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General NPI Number Information
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NPI Number | 1477448884
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Entity Type | Organization
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Legal Business Name | JAHANBAKHSH AND KHOSRAVIAN DENTAL PARTNERSHIP
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 5363 BALBOA BLVD STE 531
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City | ENCINO
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State | CA
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Zip | 91316-2847
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Country | US
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Telephone | 818-252-8634
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Fax |
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Provider Business Mailing Address
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Address Line | 5363 BALBOA BLVD STE 531
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City | ENCINO
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State | CA
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Zip | 91316-2847
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Country | US
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Telephone | 818-252-8634
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Fax |
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Authorized Official
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Title or Position | PARTNER/OWNER
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Name | DR. NILOOFAR KHOSRAVIAN
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Credential |
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Telephone | 818-922-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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