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General NPI Number Information
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NPI Number | 1356411904
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Entity Type | Individual
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Provider Name | MAJID MOLAIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 28924 S. WESTERN AVE. #201
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0885
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Country | US
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Telephone | 310-514-8034
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Fax | 310-833-3508
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Provider Business Mailing Address
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Address Line | PO BOX 6189
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City | SAN PEDRO
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State | CA
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Zip | 90734-6189
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Country | US
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Telephone | 310-514-8034
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Fax | 310-833-3508
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A37634
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License Number State | CA
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