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General NPI Number Information
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NPI Number | 1295914935
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Entity Type | Organization
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Legal Business Name | RAHIM KARJOO MD INC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 12665 GARDEN GROVE BLVD. STE. 113
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1915
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Country | US
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Telephone | 714-636-0261
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Fax | 714-636-0263
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Provider Business Mailing Address
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Address Line | 12665 GARDEN GROVE BLVD. STE. 113
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1915
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Country | US
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Telephone | 714-636-0261
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Fax | 714-636-0263
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | RAHIM KARJOO
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Credential | MD
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Telephone | 714-636-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | C37311
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License Number State | CA
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