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General NPI Number Information
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NPI Number | 1407993975
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Entity Type | Organization
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Legal Business Name | SEAN S. BAHRI, M.D., INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 06/19/2014
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Provider Practice Location Address
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Address Line | 1401 AVOCADO AVE SUITE 903
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7771
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Country | US
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Telephone | 949-631-7577
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Fax | 949-631-5104
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Provider Business Mailing Address
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Address Line | 1401 AVOCADO AVE SUITE 903
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7771
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Country | US
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Telephone | 949-631-7577
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Fax | 949-631-5104
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEAN SHIDFAR BAHRI
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Credential | M.D.
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Telephone | 949-631-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A51230
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License Number State | CA
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