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General NPI Number Information
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NPI Number | 1790117695
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Entity Type | Individual
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Provider Name | ARBEL MAGHSOODPOUR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | NAVAL BASE VENTURA COUNTY 720 23RD AVE NUMBER 914
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City | PORT HUENEME
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State | CA
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Zip | 93043-0140
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Country | US
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Telephone | 805-427-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 720 23RD AVE # 914
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City | PORT HUENEME
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State | CA
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Zip | 93043-3737
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Country | US
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Telephone | 805-427-4035
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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 | 29257
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29257
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License Number State | TX
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