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General NPI Number Information
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NPI Number | 1033090592
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Entity Type | Organization
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Legal Business Name | NEUROLOGY & NEUROTHERAPEUTICS CENTER
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 20911 EARL ST STE 280
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City | TORRANCE
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State | CA
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Zip | 90503-4354
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Country | US
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Telephone | 424-213-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 21143 HAWTHORNE BLVD # 114
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 424-213-1984
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SAMRA VAZIRIAN
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Credential | MD
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Telephone | 310-502-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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