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General NPI Number Information
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NPI Number | 1699266775
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Entity Type | Organization
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Legal Business Name | AZIN H. KOLAHI DMD INC. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 5989 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3623
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Country | US
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Telephone | 818-888-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 5989 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3623
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Country | US
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Telephone | 818-888-6700
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | FANNIE ESPARZA
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Credential |
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Telephone | 818-888-6700
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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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