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General NPI Number Information
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NPI Number | 1811365042
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Entity Type | Individual
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Provider Name | VICTORIA NAIMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 321 N LARCHMONT BLVD STE 1010
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City | LOS ANGELES
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State | CA
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Zip | 90004-6410
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Country | US
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Telephone | 323-682-0674
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Fax |
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Provider Business Mailing Address
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Address Line | 10856 MORRISON ST APT 4
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-4666
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Country | US
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Telephone | 323-719-6417
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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 | 64843
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License Number State | CA
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