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General NPI Number Information
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NPI Number | 1184825028
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Entity Type | Organization
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Legal Business Name | SAMIREH Z. SAID, M.D., INC.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 13422 NEWPORT AVE STE J
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City | TUSTIN
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State | CA
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Zip | 92780-3746
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Country | US
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Telephone | 714-669-0844
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Fax | 714-669-0846
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Provider Business Mailing Address
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Address Line | 13422 NEWPORT AVE STE J
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City | TUSTIN
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State | CA
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Zip | 92780-3746
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Country | US
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Telephone | 714-669-0844
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Fax | 714-669-0846
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMIREH Z SAID
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Credential | M.D.
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Telephone | 714-669-0844
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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 | G79810
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License Number State | CA
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