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General NPI Number Information
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NPI Number | 1396807046
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Entity Type | Organization
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Legal Business Name | BOBBY POURZIAEE, D P M INC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 415 N CRESCENT DR STE 340
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4884
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Country | US
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Telephone | 310-441-0088
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Fax | 310-388-5809
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Provider Business Mailing Address
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Address Line | 6230 WILSHIRE BLVD STE 145
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City | LOS ANGELES
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State | CA
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Zip | 90048-5126
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Country | US
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Telephone | 310-441-0088
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Fax | 310-388-5809
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BOBBY POURZIAEE
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Credential | DPM
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Telephone | 310-441-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4339
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License Number State | CA
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