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General NPI Number Information
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NPI Number | 1144852435
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Entity Type | Organization
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Legal Business Name | CLNICA URIEL / IRADJ NAZARIAN MD
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 1187 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3662
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Country | US
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Telephone | 562-599-2119
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Fax | 562-218-7062
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Provider Business Mailing Address
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Address Line | 1187 E ANAHEIM ST
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City | LONG BEACH
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State | CA
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Zip | 90813-3662
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Country | US
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Telephone | 562-599-2119
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Fax | 562-218-7062
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Authorized Official
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Title or Position | MD/ MEDICAL DIRECTOR
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Name | IRADJ NAZAARIAN
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Credential | MD
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Telephone | 562-599-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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