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General NPI Number Information
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NPI Number | 1689197410
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Entity Type | Organization
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Legal Business Name | NAZLI HAMED MAJD DDS A DENTAL CORP
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 11144 PALMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6503
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Country | US
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Telephone | 310-390-2228
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Fax | 310-391-6398
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Provider Business Mailing Address
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Address Line | 11144 PALMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-6503
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Country | US
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Telephone | 310-390-2228
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NAZLI HAMED MAJD
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Credential | DDS
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Telephone | 310-390-2228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 100422
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License Number State | CA
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