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General NPI Number Information
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NPI Number | 1154413516
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Entity Type | Organization
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Legal Business Name | HOSEIN MOHAMMADI, M.D., INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5000 PHYSICIANS BLVD SUITE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5835
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Country | US
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Telephone | 661-846-4985
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Fax | 661-846-3930
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Provider Business Mailing Address
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Address Line | 10120 DUTCH IRIS DR
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3770
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Country | US
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Telephone | 661-664-3670
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Fax | 661-664-7929
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOSEIN MOHAMMADI
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Credential | M.D.
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Telephone | 661-846-4985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00A338200
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License Number State | CA
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