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General NPI Number Information
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NPI Number | 1538534763
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Entity Type | Organization
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Legal Business Name | ENCINO DENTAL EXCELLENCE
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD SUITE #400
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-986-8051
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Fax | 818-986-1401
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD SUITE #400
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-986-8051
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Fax | 818-986-1401
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RAMIN D PARTOVY
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Credential | DDS.
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Telephone | 818-986-8051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 51372
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License Number State | CA
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