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General NPI Number Information
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NPI Number | 1265786552
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Entity Type | Individual
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Provider Name | ARTIN MAHMOUDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 275 HOSPITAL DR SONORA REGIONAL MEDICAL CENTER
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City | UKIAH
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State | CA
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Zip | 95482
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Country | US
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Telephone | 707-462-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 338 NE 105TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97006-7638
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Country | US
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Telephone | 209-288-9874
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | G63126
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | G63126
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 27589
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License Number State | CO
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