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General NPI Number Information
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NPI Number | 1770199333
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Entity Type | Individual
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Provider Name | MELIKA SHAHSAVAR HAGHIGHI DDS
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 13768 ROSWELL AVE # 110V
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City | CHINO
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State | CA
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Zip | 91710-1401
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Country | US
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Telephone | 909-902-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 234 S FIGUEROA ST APT 1539
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City | LOS ANGELES
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State | CA
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Zip | 90012-2568
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Country | US
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Telephone | 310-962-5514
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 105538
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License Number State | CA
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