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General NPI Number Information
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NPI Number | 1225287378
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Entity Type | Individual
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Provider Name | MASOUD AFSHAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2008
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 220 N IMPERIAL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-1265
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Country | US
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Telephone | 442-283-5049
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Fax | 760-283-5089
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Provider Business Mailing Address
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Address Line | 220 N IMPERIAL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-1265
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Country | US
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Telephone | 442-283-5049
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Fax | 442-283-5089
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A105324
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License Number State | CA
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