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General NPI Number Information
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NPI Number | 1811257280
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Entity Type | Individual
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Provider Name | NADER NASSERI D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4200 CHINO HILLS PKWY STE 805
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City | CHINO HILLS
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State | CA
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Zip | 91709-3785
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Country | US
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Telephone | 909-606-0160
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Fax |
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Provider Business Mailing Address
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Address Line | 3234 SAWTELLE BLVD APT 308
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City | LOS ANGELES
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State | CA
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Zip | 90066-1617
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Country | US
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Telephone | 971-404-4433
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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 | 101301
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License Number State | CA
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