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General NPI Number Information
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NPI Number | 1124417092
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Entity Type | Organization
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Legal Business Name | NIRR INC
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE STE 710
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City | ANAHEIM
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State | CA
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Zip | 92801-2814
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Country | US
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Telephone | 949-448-0302
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Fax | 949-448-0335
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Provider Business Mailing Address
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Address Line | 578 WASHINGTON BLVD # 5003
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5421
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Country | US
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Telephone | 949-448-0302
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Fax | 949-448-0335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RADOSLAV IVOV RAYCHEV
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Credential | MD
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Telephone | 415-290-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | A1079595
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A1079595
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number |
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License Number State |
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