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General NPI Number Information
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NPI Number | 1255323408
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Entity Type | Organization
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Legal Business Name | M ZARRABI MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 3175 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-5739
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Country | US
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Telephone | 323-567-7722
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Fax | 323-537-4749
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Provider Business Mailing Address
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Address Line | 4827 GAGE AVE
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City | BELL
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State | CA
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Zip | 90201-1424
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Country | US
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Telephone | 323-567-7722
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Fax | 323-537-4749
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANOOCHEHR ZARRABI
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Credential | M.D.
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Telephone | 310-339-8577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A45355
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License Number State | CA
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