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General NPI Number Information
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NPI Number | 1164612099
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Entity Type | Individual
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Provider Name | MARYAM BAHREINI M.D
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 44650 VILLAGE CT STE 100
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City | PALM DESERT
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State | CA
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Zip | 92260-3812
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Country | US
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Telephone | 760-346-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 72780 COUNTRY CLUB STE 100
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270
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Country | US
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Telephone | 760-862-9900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A33520
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License Number State | CA
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