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General NPI Number Information
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NPI Number | 1336349992
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Entity Type | Organization
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Legal Business Name | H. MOAYERI, M.D.,INC.
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 17822 BEACH BLVD SUITE 343
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7101
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Country | US
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Telephone | 714-842-7779
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Fax | 714-847-9334
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Provider Business Mailing Address
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Address Line | 17822 BEACH BLVD SUITE 343
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7101
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Country | US
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Telephone | 714-842-7779
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Fax | 714-847-9334
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | HOUSHANG MOAYERI
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Credential | M.D.
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Telephone | 714-842-7779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A37168
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License Number State | CA
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