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General NPI Number Information
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NPI Number | 1255777843
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Entity Type | Organization
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Legal Business Name | REZA SHARAFI MD INC
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 9818 PARAMOUNT BLVD STE D
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City | DOWNEY
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State | CA
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Zip | 90240-4407
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Country | US
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Telephone | 917-687-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 9818 PARAMOUNT BLVD STE D
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City | DOWNEY
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State | CA
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Zip | 90240-4407
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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 | PRESIDENT
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Name | REZA SHARAFI
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Credential | MD
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Telephone | 562-658-0499
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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 | A96845
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License Number State | CA
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