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General NPI Number Information
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NPI Number | 1376785642
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Entity Type | Individual
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Provider Name | PARASTOU SHILIAN D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 827 22ND ST
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City | SANTA MONICA
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State | CA
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Zip | 90403-2008
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Country | US
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Telephone | 303-776-5298
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Fax |
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Provider Business Mailing Address
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Address Line | 1908 THOMES AVE STE 12550
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City | CHEYENNE
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State | WY
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Zip | 82001-3527
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Country | US
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Telephone | 303-776-5298
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 20A10432
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | CDRH.0072479
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License Number State | CO
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