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General NPI Number Information
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NPI Number | 1760875249
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Entity Type | Organization
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Legal Business Name | HAKIMI DENTAL CORPORATION
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 16542 BELLFLOWER BLVD SUITE 100
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City | BELLFLOWER
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State | CA
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Zip | 90706-5417
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Country | US
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Telephone | 562-866-7073
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Fax |
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Provider Business Mailing Address
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Address Line | 16542 BELLFLOWER BLVD SUITE 100
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City | BELLFLOWER
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State | CA
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Zip | 90706-5417
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Country | US
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Telephone | 562-866-7073
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | DR. HOOMAN HAKIMI
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Credential | DDS
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Telephone | 310-995-1595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 48721
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License Number State | CA
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