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General NPI Number Information
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NPI Number | 1598220980
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Entity Type | Individual
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Provider Name | NEDA KAKVAND
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Gender | Female
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 02/10/2019
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Provider Practice Location Address
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Address Line | 8020 LAUREL CANYON BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-1427
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Country | US
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Telephone | 818-759-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 11511 MOORPARK ST # 7
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City | STUDIO CITY
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State | CA
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Zip | 91602-1924
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Country | US
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Telephone |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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