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General NPI Number Information
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NPI Number | 1528250362
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Entity Type | Organization
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Legal Business Name | GOEL SOHEIL DDS A PROFESSIONAL CORP.
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 16101 VENTURA BLVD SUITE # 329
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City | ENCINO
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State | CA
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Zip | 91436-2500
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Country | US
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Telephone | 818-907-9900
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Fax | 818-907-9908
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Provider Business Mailing Address
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Address Line | 16101 VENTURA BLVD SUITE # 329
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City | ENCINO
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State | CA
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Zip | 91436-2500
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Country | US
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Telephone | 818-907-9900
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Fax | 818-907-9908
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SOHEIL GOEL
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Credential | DDS
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Telephone | 818-907-9900
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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 | 38532
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License Number State | CA
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