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General NPI Number Information
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NPI Number | 1376834796
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Entity Type | Individual
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Provider Name | MARYAM SHARIFIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 W FLAGLER ST STE 100
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City | MIAMI
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State | FL
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Zip | 33174-2535
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Country | US
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Telephone | 305-878-9097
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Fax | 786-513-0175
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME137096
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | A130681
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License Number State | CA
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