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General NPI Number Information
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NPI Number | 1811184922
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Entity Type | Organization
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Legal Business Name | REEM KABBARAH, D.D.S. INC.
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 9975 ROBBINS DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-1641
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Country | US
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Telephone | 323-420-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 10582 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-2332
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Country | US
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Telephone | 323-420-3095
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REEM KABBARAH
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Credential | DDS
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Telephone | 323-420-3095
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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 | 51267
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License Number State | CA
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