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General NPI Number Information
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NPI Number | 1063490712
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Entity Type | Individual
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Provider Name | AMIR G NASSERI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 1155 W CENTRAL AVE SUITE 214
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City | SANTA ANA
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State | CA
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Zip | 92707-3165
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Country | US
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Telephone | 714-966-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 25 ARCADE
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City | IRVINE
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State | CA
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Zip | 92603-0119
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Country | US
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Telephone | 949-387-3801
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 9725
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A68974
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License Number State | CA
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