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General NPI Number Information
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NPI Number | 1104936426
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Entity Type | Individual
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Provider Name | MAHJABEEN KAMYAR MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 860 JAMACHA RD STE 203
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City | EL CAJON
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State | CA
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Zip | 92019-3224
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Country | US
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Telephone | 619-442-0945
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Fax | 619-579-5945
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Provider Business Mailing Address
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Address Line | 860 JAMACHA RD STE 203
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City | EL CAJON
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State | CA
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Zip | 92019-3224
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Country | US
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Telephone | 619-442-0945
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Fax | 619-579-5945
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C40228
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License Number State | CA
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