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General NPI Number Information
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NPI Number | 1013250927
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Entity Type | Individual
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Provider Name | BAHRAM PARSA M.D., PH D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ SUITE 245
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City | LOS ANGELES
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State | CA
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Zip | 90024-6970
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Country | US
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Telephone | 310-208-0099
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Fax | 310-208-0963
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Provider Business Mailing Address
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Address Line | 100 UCLA MEDICAL PLZ SUITE 245
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City | LOS ANGELES
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State | CA
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Zip | 90024-6970
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Country | US
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Telephone | 310-208-0099
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Fax | 310-208-0963
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A36632
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License Number State | CA
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