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General NPI Number Information
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NPI Number | 1770762718
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Entity Type | Individual
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Provider Name | JASMIN HAKIMI DDS
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Gender | Female
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 12119 INAVALE PL
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City | LA
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State | CA
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Zip | 90049
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Country | US
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Telephone | 310-826-5544
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Fax | 310-569-5699
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Provider Business Mailing Address
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Address Line | 12119 INAVALE PL
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City | LOS ANGELES
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State | CA
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Zip | 90049
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Country | US
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Telephone | 310-826-5544
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Fax | 310-569-5699
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 38005
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License Number State | CA
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