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General NPI Number Information
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NPI Number | 1245502400
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Entity Type | Individual
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Provider Name | BABAK GACHPAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2012
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 4 PAVONA
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City | NEWPORT COAST
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State | CA
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Zip | 92657-1217
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Country | US
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Telephone | 562-491-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 LINDEN AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-3321
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Country | US
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Telephone | 562-491-9469
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Fax | 562-491-9380
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 04-39038
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License Number State | KS
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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 | A137760
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License Number State | CA
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