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General NPI Number Information
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NPI Number | 1427755297
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Entity Type | Individual
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Provider Name | REIHANEH D NOVEIR PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 640 S SAN VICENTE BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90048-4884
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Country | US
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Telephone | 323-642-6455
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Fax |
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Provider Business Mailing Address
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Address Line | 5339 LINDLEY AVE UNIT 302
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City | TARZANA
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State | CA
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Zip | 91356-3719
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Country | US
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Telephone | 310-980-2787
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA62447
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License Number State | CA
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