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General NPI Number Information
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NPI Number | 1356655492
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Entity Type | Organization
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Legal Business Name | HAMID ZADEH MD INC
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 2435 MARSHALL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-9599
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Country | US
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Telephone | 760-550-6327
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Fax | 760-550-6331
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Provider Business Mailing Address
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Address Line | 2435 MARSHALL AVE
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City | IMPERIAL
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State | CA
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Zip | 92251-9599
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Country | US
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Telephone | 760-550-6327
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Fax | 760-550-6331
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Authorized Official
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Title or Position | OWNER
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Name | ERICA TAVAKOLI STAUF
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Credential |
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Telephone | 760-550-6327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A101245
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License Number State | CA
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