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General NPI Number Information
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NPI Number | 1982412540
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Entity Type | Individual
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Provider Name | DR. SAMIR YOUNAN
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Gender | Male
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 21729 VANOWEN ST
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City | CANOGA PARK
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State | CA
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Zip | 91303-2618
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Country | US
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Telephone | 818-898-1409
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Fax |
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Provider Business Mailing Address
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Address Line | 9575 RESEDA BLVD APT 123
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2366
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Country | US
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Telephone | 818-671-8282
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Fax | 818-671-8282
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 111120
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License Number State | CA
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