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General NPI Number Information
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NPI Number | 1295828259
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Entity Type | Organization
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Legal Business Name | AFROUZ GERAYLI MD INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 500 PASEO CAMARILLO #100
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City | CAMARILLO
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State | CA
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Zip | 93010-5900
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Country | US
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Telephone | 805-484-1033
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Fax | 805-482-7213
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Provider Business Mailing Address
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Address Line | 500 PASEO CAMARILLO #100
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City | CAMARILLO
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State | CA
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Zip | 93010-5900
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Country | US
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Telephone | 805-484-1033
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Fax | 805-482-7213
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Authorized Official
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Title or Position | PRESIDENT
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Name | AFOUZ S GERAYLI
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Credential | MD
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Telephone | 805-484-1033
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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 |
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License Number State |
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