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General NPI Number Information
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NPI Number | 1851085120
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Entity Type | Individual
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Provider Name | ASHKAN NIKTABE OD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 6433 FALLBROOK AVE
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City | WEST HILLS
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State | CA
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Zip | 91307-3543
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Country | US
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Telephone | 818-703-1410
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Fax | 818-703-9079
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Provider Business Mailing Address
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Address Line | 14159 DICKENS ST APT 201
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-5806
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Country | US
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Telephone |
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Fax | 818-703-9079
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 35464
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License Number State | CA
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