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General NPI Number Information
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NPI Number | 1437224458
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Entity Type | Organization
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Legal Business Name | AMIR H MONFARED MD INC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/07/2010
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Provider Practice Location Address
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Address Line | 8631 W THIRD ST 230E
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City | LA
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-657-2451
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Fax | 310-657-5886
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Provider Business Mailing Address
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Address Line | 8631 W THIRD ST 230E
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City | LA
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State | CA
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Zip | 90048-5901
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Country | US
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Telephone | 310-657-2451
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Fax | 310-657-5886
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMIR H MONFARED
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Credential | MD
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Telephone | 310-657-2451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A31378
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License Number State | CA
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