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General NPI Number Information
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NPI Number | 1013222066
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Entity Type | Individual
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Provider Name | AFSHIN ARIANJAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2010
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3110 CHINO AVE STE 230
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City | CHINO HILLS
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State | CA
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Zip | 91709-1282
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Country | US
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Telephone | 909-788-1900
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Fax | 909-788-1901
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Provider Business Mailing Address
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Address Line | 2058 N MILLS AVE # 519
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City | CLAREMONT
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State | CA
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Zip | 91711-2812
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Country | US
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Telephone | 909-788-1900
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Fax | 909-788-1901
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A113834
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A113834
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License Number State | CA
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