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General NPI Number Information
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NPI Number | 1891903084
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Entity Type | Organization
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Legal Business Name | MAHIN G FARZIN DDS INC
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 220 NEWPORT CENTER DR #3
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7506
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Country | US
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Telephone | 949-274-2799
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Fax | 949-759-1871
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Provider Business Mailing Address
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Address Line | 220 NEWPORT CENTER DR #3
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7506
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Country | US
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Telephone | 949-274-2799
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Fax | 949-759-1871
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MAHIN G FARZIN
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Credential | DDS
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Telephone | 949-274-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 52980
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License Number State | CA
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