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General NPI Number Information
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NPI Number | 1437288073
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Entity Type | Individual
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Provider Name | SIAVASH KARIMIAN MD, ABFM
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 72650 FRED WARING DR STE 106
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City | PALM DESERT
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State | CA
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Zip | 92260-5007
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Country | US
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Telephone | 760-230-9990
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Fax | 760-636-1270
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Provider Business Mailing Address
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Address Line | 1621 N. WASHINGTON AVENUE
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City | ROSWELL
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State | NM
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Zip | 88201
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Country | US
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Telephone | 575-625-8430
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Fax | 575-625-8452
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2007-0234
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A98867
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License Number State | CA
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