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General NPI Number Information
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NPI Number | 1881826170
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Entity Type | Individual
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Provider Name | PARISA PEJMAN-ZADEH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 935 E LA HABRA BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-5505
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Country | US
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Telephone | 562-697-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 14252 CULVER DR # A419
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City | IRVINE
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State | CA
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Zip | 92604-0317
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Country | US
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Telephone | 949-903-0672
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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 | 58712
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License Number State | CA
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