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General NPI Number Information
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NPI Number | 1720423684
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Entity Type | Organization
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Legal Business Name | ALVAND ZINABADI DDS INC
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 11850 FIRESTONE BLVD STE 6
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City | NORWALK
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State | CA
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Zip | 90650-2979
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Country | US
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Telephone | 562-864-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 28392 CHAT DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1383
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Country | US
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Telephone | 818-312-1892
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Fax |
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. ZINABADI ALVAND
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Credential | DDS
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Telephone | 818-312-1892
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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 | 60659
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License Number State | CA
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