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General NPI Number Information
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NPI Number | 1700208261
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Entity Type | Organization
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Legal Business Name | AFRAMIAN AND SHAMOEIL DDS, INC.
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 6512 LAUREL CANYON BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1521
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Country | US
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Telephone | 818-332-6292
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Fax |
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Provider Business Mailing Address
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Address Line | 6512 LAUREL CANYON BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-1521
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOMAN SHAMOEIL
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Credential |
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Telephone | 818-332-6292
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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 | 58627
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 59652
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License Number State | CA
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