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General NPI Number Information
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NPI Number | 1629512157
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Entity Type | Organization
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Legal Business Name | LILIAN LOTFY DDS INC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 03/16/2018
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Provider Practice Location Address
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Address Line | 5711 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2823
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Country | US
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Telephone | 323-213-3676
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Fax |
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Provider Business Mailing Address
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Address Line | 5711 E BEVERLY BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-2823
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Country | US
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Telephone | 323-213-3676
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LILIAN LOTFY
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Credential |
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Telephone | 323-213-3676
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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 | 45912
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License Number State | CA
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