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General NPI Number Information
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NPI Number | 1699931006
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Entity Type | Organization
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Legal Business Name | KIUMARS RAHIMI D.D.S., INC.
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 5010 S LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90056-1800
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Country | US
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Telephone | 323-296-2300
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Fax | 323-290-4072
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Provider Business Mailing Address
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Address Line | 5010 S LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90056-1800
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Country | US
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Telephone | 323-296-2300
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Fax | 323-290-4072
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Authorized Official
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Title or Position | OWNER
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Name | KIUMARS RAHIMI
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Credential |
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Telephone | 323-296-2300
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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 | 35450
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License Number State | CA
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