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General NPI Number Information
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NPI Number | 1285922922
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Entity Type | Individual
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Provider Name | VISHTASB ARIAZAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 310-222-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 25455 MEDICAL CENTER DR
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City | MURRIETA
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State | CA
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Zip | 92562-1500
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Country | US
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Telephone | 951-600-2839
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301098125
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A135889
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License Number State | CA
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