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General NPI Number Information
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NPI Number | 1952566564
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Entity Type | Individual
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Provider Name | KATAYOUN MOHAJERANI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 777 TRUMAN ST 107
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City | SAN FERNANDO
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State | CA
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Zip | 91340-3382
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Country | US
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Telephone | 818-838-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 777 TRUMAN ST 107
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City | SAN FERNANDO
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State | CA
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Zip | 91340-3382
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Country | US
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Telephone |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 054534
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11365
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 60068
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License Number State | CA
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