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General NPI Number Information
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NPI Number | 1861847212
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Entity Type | Organization
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Legal Business Name | AMIR SADRI DDS INC.
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 8925 SEPULVEDA BLVD STE 112
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City | NORTH HILLS
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State | CA
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Zip | 91343-4346
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Country | US
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Telephone | 818-920-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 8925 SEPULVEDA BLVD. #112
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City | NORTH HILLS
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State | CA
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Zip | 91343
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Country | US
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Telephone | 818-920-6800
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | AMIR SADRI
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Credential |
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Telephone | 818-920-6800
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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 | 53646
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License Number State | CA
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