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NPI 1841538998

NPI 1841538998 : SHAILA TORBATI DDS AND DONA TORBATI DDS INC : SOUTH GATE, CA

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General NPI Number Information
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    NPI Number           |    1841538998
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHAILA TORBATI DDS AND DONA TORBATI DDS INC 
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Dates
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    Enumeration Date     |    01/24/2013
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    Last Update Date     |    01/24/2013
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Provider Practice Location Address
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    Address Line         |    8116 CALIFORNIA AVE SUITE C
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    City                 |    SOUTH GATE
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    State                |    CA
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    Zip                  |    90280-2400
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    Country              |    US
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    Telephone            |    323-567-1821
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    Fax                  |    323-567-1821
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Provider Business Mailing Address
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    Address Line         |    8116 CALIFORNIA AVE SUITE C
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    City                 |    SOUTH GATE
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    State                |    CA
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    Zip                  |    90280-2400
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    Country              |    US
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    Telephone            |    323-567-1821
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    Fax                  |    323-567-1821
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DONA  TORBATI 
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    Credential           |    
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    Telephone            |    323-567-1821
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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       |    61146
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    57788
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    License Number State |    CA
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