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General NPI Number Information
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NPI Number | 1245269802
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Entity Type | Individual
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Provider Name | BABAK PEZESHKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 520 SUPERIOR AVE SUITE 280
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-645-2800
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Fax | 949-645-2810
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Provider Business Mailing Address
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Address Line | 520 SUPERIOR AVE SUITE 280
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3637
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Country | US
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Telephone | 949-645-2800
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Fax | 949-645-2810
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A60224
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License Number State | CA
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