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General NPI Number Information
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NPI Number | 1487217865
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Entity Type | Individual
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Provider Name | ROXANNE SALAVATI DMD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2019
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 436 N ROXBURY DR PH SOUTH-A
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5019
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Country | US
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Telephone | 310-276-8897
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Fax |
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Provider Business Mailing Address
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Address Line | 436 S ROXBURY DR PH A
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-4114
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Country | US
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Telephone | 424-421-4292
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 108147
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License Number State | CA
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