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General NPI Number Information
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NPI Number | 1851210322
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Entity Type | Individual
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Provider Name | FADI YOUSEF MALKIEH DDS
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Gender | Male
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 10930 MAGNOLIA BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-3903
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Country | US
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Telephone | 813-766-9667
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 WILSHIRE BLVD APT 1223
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City | LOS ANGELES
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State | CA
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Zip | 90010-1382
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Country | US
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Telephone | 813-766-9667
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS113139
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License Number State | CA
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