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General NPI Number Information
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NPI Number | 1306758297
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Entity Type | Organization
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Legal Business Name | SHAWN SEDGH MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 2097 DEER RUN LN
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City | LOS ANGELES
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State | CA
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Zip | 90049-6829
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Country | US
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Telephone | 310-362-5229
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Fax | 310-496-6774
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Provider Business Mailing Address
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Address Line | 2097 DEER RUN LN
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City | LOS ANGELES
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State | CA
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Zip | 90049-6829
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Country | US
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Telephone | 818-481-6916
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWN SEDGH
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Credential | MD
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Telephone | 818-481-6916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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