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General NPI Number Information
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NPI Number | 1295955524
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Entity Type | Organization
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Legal Business Name | AZIZEH ASGARI, MD, INC.
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1030 S GLENDALE AVE SUITE 406
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City | GLENDALE
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State | CA
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Zip | 91205-5612
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Country | US
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Telephone | 818-241-0016
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Fax | 818-241-0407
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Provider Business Mailing Address
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Address Line | 16661 VENTURA BLVD SUITE 309
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City | ENCINO
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State | CA
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Zip | 91436-1914
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Country | US
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Telephone | 818-995-6046
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Fax | 818-995-5726
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AZIZEH ASGARIPOUR
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Credential | MD
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Telephone | 818-995-6046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A48989
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License Number State | CA
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