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General NPI Number Information
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NPI Number | 1225337447
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Entity Type | Individual
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Provider Name | PARASTU S EMRANI MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST STE 1519
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City | LOMA LINDA
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State | CA
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Zip | 92354
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Country | US
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Telephone | 909-558-4884
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Fax |
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Provider Business Mailing Address
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Address Line | FILE NUMBER 54701
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City | LOS ANGELES
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State | CA
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Zip | 90074-4701
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301104659
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License Number State | MI
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