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General NPI Number Information
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NPI Number | 1548335912
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Entity Type | Individual
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Provider Name | SHAHAB EBRAHIMIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 13949 VENTURA BLVD SUITE 250
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3584
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Country | US
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Telephone | 818-385-1999
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Fax | 818-385-1988
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Provider Business Mailing Address
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Address Line | 13949 VENTURA BLVD SUITE 250
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3584
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Country | US
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Telephone | 818-385-1999
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Fax | 818-385-1988
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | B44473
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License Number State | CA
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