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General NPI Number Information
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NPI Number | 1639613466
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Entity Type | Organization
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Legal Business Name | BENJAMIN MESHKINFAM DDS, INC.
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Dates
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Enumeration Date | 12/13/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 4805 FLORENCE AVE
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City | BELL
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State | CA
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Zip | 90201-4316
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Country | US
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Telephone | 323-771-2014
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Fax | 323-771-2548
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Provider Business Mailing Address
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Address Line | 4805 FLORENCE AVE
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City | BELL
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State | CA
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Zip | 90201-4316
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Country | US
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Telephone | 323-771-2014
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Fax | 323-771-2548
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. BENJAMIN MESHKINFAM
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Credential | DDS
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Telephone | 323-771-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 62734
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License Number State | CA
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