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General NPI Number Information
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NPI Number | 1205330685
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Entity Type | Individual
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Provider Name | AHDAD ZIYAR
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Gender | Male
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 801 N TUSTIN AVE STE 605
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City | SANTA ANA
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State | CA
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Zip | 92705-3610
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Country | US
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Telephone | 714-584-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 E UTAH AVE
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City | FRESNO
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State | CA
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Zip | 93720-1967
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Country | US
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Telephone | 559-709-9257
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | A164647
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A164647
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License Number State | CA
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