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General NPI Number Information
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NPI Number | 1639552656
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Entity Type | Organization
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Legal Business Name | IRAJ MOVAHHEDI D.D.S INC,
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 4225 SAVIERS RD STE 9
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City | OXNARD
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State | CA
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Zip | 93033-7119
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Country | US
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Telephone | 805-982-8283
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Fax | 805-982-8284
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Provider Business Mailing Address
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Address Line | 4225 SAVIERS RD STE 9
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City | OXNARD
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State | CA
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Zip | 93033-7119
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Country | US
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Telephone | 805-982-8283
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Fax | 805-982-8284
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. IRAJ MOVAHHEDI
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Credential | D.D.S,
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Telephone | 805-982-8283
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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 | 42373
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License Number State | CA
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