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General NPI Number Information
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NPI Number | 1689044521
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Entity Type | Organization
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Legal Business Name | HORMOZ GOLIAN DDS, APC
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 20968 VENTURA BLVD STE 2
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6491
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Country | US
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Telephone | 323-459-8760
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Fax |
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Provider Business Mailing Address
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Address Line | 20968 VENTURA BLVD STE 2
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-6491
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Country | US
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Telephone | 323-459-8760
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. HORMOZ GOLIAN
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Credential | DDS
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Telephone | 323-459-8760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 55584
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License Number State | CA
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