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General NPI Number Information
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NPI Number | 1154191088
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Entity Type | Organization
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Legal Business Name | ESKANDARI MEDICAL PRACTICE CORP
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 9229 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5501
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Country | US
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Telephone | 281-536-6897
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Fax |
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Provider Business Mailing Address
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Address Line | 9229 WILSHIRE BLVD
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5501
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Country | US
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Telephone | 281-536-6897
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. FARAHNAZ ESKANDARI
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Credential |
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Telephone | 281-536-6897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology 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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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