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General NPI Number Information
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NPI Number | 1669660296
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Entity Type | Organization
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Legal Business Name | HORMOZ NOURIAN, D.D.S. INC.
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 20929 VENTURA BLVD #19
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City | WOODLAND HILLS
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State | CA
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Zip | 91364
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Country | US
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Telephone | 818-716-1616
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Fax | 818-716-1133
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Provider Business Mailing Address
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Address Line | 20929 VENTURA BLVD #19
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City | WOODLAND HILLS
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State | CA
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Zip | 91364
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Country | US
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Telephone | 818-716-1616
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Fax | 818-716-1133
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JALEH TAHERI NOURIAN
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Credential |
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Telephone | 818-716-1616
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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 | 39057
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License Number State | CA
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