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General NPI Number Information
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NPI Number | 1083935878
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Entity Type | Individual
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Provider Name | ALI BAGHIAN M.D
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Gender | Male
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 18000 STUDEBAKER RD STE 800
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City | CERRITOS
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State | CA
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Zip | 90703-2671
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Country | US
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Telephone | 562-735-3226
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Fax | 562-869-1281
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVE # 8578
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2632
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Country | US
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Telephone | 225-281-3442
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 206611
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License Number State | LA
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