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General NPI Number Information
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NPI Number | 1083857122
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Entity Type | Individual
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Provider Name | PAYMAN JOSEPH DANIELPOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2009
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 436 N. BEDFORD DRIVE SUITE 308
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-275-6600
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Fax | 310-275-6607
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Provider Business Mailing Address
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Address Line | 436 N. BEDFORD DRIVE SUITE 308
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4310
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Country | US
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Telephone | 310-275-6600
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Fax | 310-275-6607
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A106786
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License Number State | CA
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