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General NPI Number Information
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NPI Number | 1154788289
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Entity Type | Organization
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Legal Business Name | MULTI-SPECIALTY HEALTHCARE MANAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 16952 VENTURA BLVD STE 100-A
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City | ENCINO
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State | CA
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Zip | 91316-4197
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Country | US
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Telephone | 818-789-3964
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Fax | 818-789-3967
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Provider Business Mailing Address
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Address Line | 16952 VENTURA BLVD STE 100-A
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City | ENCINO
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State | CA
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Zip | 91316-4197
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Country | US
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Telephone | 818-789-3964
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Fax | 818-789-3967
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Authorized Official
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Title or Position | PRESIDENT
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Name | PEJMAN E SHIRAZY
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Credential | M.D.
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Telephone | 818-789-3964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 583427
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License Number State | CA
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