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General NPI Number Information
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NPI Number | 1295974202
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Entity Type | Organization
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Legal Business Name | MARYAM ARJOMAND MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 136 N SAN MATEO DR STE 101420
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City | SAN MATEO
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State | CA
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Zip | 94401-2777
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Country | US
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Telephone | 650-344-1114
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Fax | 650-344-2274
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Provider Business Mailing Address
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Address Line | 136 N SAN MATEO DR STE 101
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City | SAN MATEO
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State | CA
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Zip | 94401-2779
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Country | US
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Telephone | 650-344-1114
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Fax | 650-344-2274
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MARYAM ARJOMAND
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Credential | M.D.
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Telephone | 650-344-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | A061705
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License Number State | CA
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