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General NPI Number Information
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NPI Number | 1043715378
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Entity Type | Individual
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Provider Name | DONNA BAHROLOOMI MD/MPH
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 99 N LA CIENEGA BLVD STE 307
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2283
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Country | US
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Telephone | 310-423-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E 77TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-2000
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | A187094
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License Number State | CA
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