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NPI 1669389193

NPI 1669389193 : AZIN BARZEGAR DMD INC : ENCINO, CA

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General NPI Number Information
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    NPI Number           |    1669389193
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    Entity Type          |    Organization 
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    Legal Business Name  |    AZIN BARZEGAR DMD INC 
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Dates
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    Enumeration Date     |    08/27/2026
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    Last Update Date     |    08/27/2026
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Provider Practice Location Address
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    Address Line         |    16550 VENTURA BLVD STE 206 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436-2076
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    Country              |    US
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    Telephone            |    818-905-8109
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16550 VENTURA BLVD STE 206 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436-2076
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    Country              |    US
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    Telephone            |    818-905-8109
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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. AZIN  BARZEGAR 
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    Credential           |    DMD
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    Telephone            |    818-294-2801
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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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