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General NPI Number Information
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NPI Number | 1982115168
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Entity Type | Individual
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Provider Name | DANIEL J EBRAMI DDS
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Gender | Male
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD STE 640
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City | ENCINO
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State | CA
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Zip | 91436-4319
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Country | US
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Telephone | 310-927-5166
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Fax | 310-927-5166
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Provider Business Mailing Address
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Address Line | 218 S HAMILTON DR
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3404
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Country | US
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Telephone | 310-927-5166
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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 | 101765
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License Number State | CA
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