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General NPI Number Information
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NPI Number | 1215753439
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Entity Type | Organization
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Legal Business Name | SINA SAFAHIEH MD INC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3620 BIRCH ST STE 210
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2625
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Country | US
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Telephone | 949-207-6775
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 BIRCH ST STE 210
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2625
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Country | US
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Telephone | 949-207-6775
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SINA SAFAHIEH
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Credential | MD
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Telephone | 713-471-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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