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General NPI Number Information
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NPI Number | 1093006223
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Entity Type | Organization
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Legal Business Name | SIAMAK MILANCHI, MD INC.
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 16300 SAND CANYON AVE SUITE 604
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City | IRVINE
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State | CA
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Zip | 92618-3711
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Country | US
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Telephone | 949-429-0268
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Fax | 949-420-2180
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Provider Business Mailing Address
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Address Line | PO BOX 52435
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City | IRVINE
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State | CA
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Zip | 92619-2435
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Country | US
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Telephone | 949-429-0268
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Fax | 949-420-2180
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Authorized Official
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Title or Position | DR.
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Name | SIAMAK MILANCHI
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Credential | MD
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Telephone | 949-429-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A92723
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | A92723
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License Number State | CA
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