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General NPI Number Information
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NPI Number | 1649762600
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Entity Type | Organization
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Legal Business Name | REZA AKBAR, DDS, INC.
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 15300 PARTHENIA ST
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City | NORTH HILLS
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State | CA
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Zip | 91343
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Country | US
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Telephone | 310-627-6551
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Fax |
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Provider Business Mailing Address
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Address Line | 171 N CHURCH LN PH 4
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City | LOS ANGELES
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State | CA
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Zip | 90049-2070
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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 | PRESIDENT
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Name | DR. MOHAMMAD REZA AKBAR
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Credential | DDS
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Telephone | 310-627-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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