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General NPI Number Information
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NPI Number | 1376858852
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Entity Type | Organization
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Legal Business Name | H F ESHRAGHI MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 540 N CENTRAL AVE STE 110
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City | GLENDALE
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State | CA
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Zip | 91203-1916
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Country | US
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Telephone | 818-500-7070
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Fax | 818-500-4902
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Provider Business Mailing Address
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Address Line | PO BOX 993
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City | GLENDALE
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State | CA
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Zip | 91209-0993
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Country | US
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Telephone | 818-500-7070
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Fax | 818-500-4902
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOSSEIN F ESHRAGHI
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Credential | MD
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Telephone | 818-500-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A41308
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License Number State | CA
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