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General NPI Number Information
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NPI Number | 1184880650
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Entity Type | Organization
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Legal Business Name | BEN ZANDPOUR MD INC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 32357 PHANTOM DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6112
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Country | US
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Telephone | 949-400-8867
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Fax | 310-374-9196
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Provider Business Mailing Address
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Address Line | 32357 PHANTOM DR
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-6112
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Country | US
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Telephone | 949-400-8867
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Fax | 310-374-9196
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BEN ZANDPOUR
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Credential | M.D.
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Telephone | 949-400-8867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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