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General NPI Number Information
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NPI Number | 1043700255
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Entity Type | Individual
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Provider Name | MILAD JAVAHERIAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 310-966-7617
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 W OLYMPIC BLVD STE 105-698
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3561
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Country | US
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Telephone | 310-966-7617
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A174676
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License Number State | CA
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