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General NPI Number Information
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NPI Number | 1962202010
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Entity Type | Organization
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Legal Business Name | ELITE DENTAL HYGIENE PRACTICE OF SANAZRAFALIAN,RDHAP
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1031 S WOOSTER ST APT 106
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City | LOS ANGELES
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State | CA
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Zip | 90035-1522
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Country | US
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Telephone | 310-801-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S BARRINGTON AVE # 308
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City | LOS ANGELES
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State | CA
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Zip | 90049-7939
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Country | US
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Telephone | 310-801-4050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANAZ RAFALIAN
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Credential | RDHAP
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Telephone | 310-801-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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