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NPI 1770929572

NPI 1770929572 : SAMAN HAROUNI D.D.S : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1770929572
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    Entity Type          |    Individual 
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    Provider Name        |    SAMAN HAROUNI D.D.S
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/20/2013
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    841 MOHAWK ST # 130 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-1506
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    Country              |    US
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    Telephone            |    661-835-7389
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1531 CAMDEN AVE PH 1 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90025-3447
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    Country              |    US
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    Telephone            |    310-927-6461
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    64444
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    License Number State |    CA
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