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General NPI Number Information
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NPI Number | 1174774905
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Entity Type | Organization
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Legal Business Name | GHAROON PANAHI MD INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 11180 WARNER AVE STE 157
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7515
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Country | US
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Telephone | 714-825-0891
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Fax | 714-825-1641
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Provider Business Mailing Address
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Address Line | 11180 WARNER AVE STE 157
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7515
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Country | US
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Telephone | 714-825-0891
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Fax | 714-825-1641
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Authorized Official
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Title or Position | M.D.
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Name | DR. GHAROON PANAHI
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Credential | M.D.
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Telephone | 714-825-0891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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