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General NPI Number Information
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NPI Number | 1689058406
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Entity Type | Organization
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Legal Business Name | VIOLET AKHONDZADEH D. D. S. INC.
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 13026 HADLEY ST
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City | WHITTIER
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State | CA
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Zip | 90601-4205
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Country | US
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Telephone | 562-698-9621
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Fax | 562-698-1802
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Provider Business Mailing Address
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Address Line | 13026 HADLEY ST
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City | WHITTIER
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State | CA
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Zip | 90601-4205
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Country | US
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Telephone | 562-698-9621
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Fax | 562-698-1802
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Authorized Official
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Title or Position | DENTIST
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Name | DR. VIOLET AKHONDZADEH
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Credential | DDS
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Telephone | 562-698-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 42264
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License Number State | CA
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