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General NPI Number Information
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NPI Number | 1275567927
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Entity Type | Individual
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Provider Name | PARRISH SADEGHI MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 2001 SANTA MONICA BLVD STE 480W
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City | SANTA MONICA
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State | CA
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Zip | 90404-2121
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Country | US
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Telephone | 310-954-9501
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Fax | 310-954-9502
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Provider Business Mailing Address
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Address Line | 1118 17TH ST APT 2
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City | SANTA MONICA
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State | CA
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Zip | 90403-5542
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Country | US
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Telephone | 310-560-2101
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Fax | 310-954-9502
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 44336
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A86498
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License Number State | CA
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