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General NPI Number Information
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NPI Number | 1831314590
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Entity Type | Individual
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Provider Name | MICHAEL AMIR DDS
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 4858 VAN NUYS BLVD STE A
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2101
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Country | US
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Telephone | 818-905-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 6007 LANKERSHIM BLVD STE 9
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4883
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Country | US
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Telephone | 818-506-2977
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Fax | 818-506-4710
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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 | 47444
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License Number State | CA
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