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General NPI Number Information
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NPI Number | 1487322665
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Entity Type | Organization
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Legal Business Name | DR. AFAR NOHO DENTAL GROUP INC
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 11126 CHANDLER BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3228
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Country | US
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Telephone | 818-432-8300
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Fax | 818-432-8319
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Provider Business Mailing Address
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Address Line | 11126 CHANDLER BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3228
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Country | US
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Telephone | 818-432-8300
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Fax | 818-432-8319
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARCELA MARTINEZ
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Credential |
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Telephone | 818-432-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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