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General NPI Number Information
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NPI Number | 1457422065
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Entity Type | Individual
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Provider Name | JAHANGIR SHARIFI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 1701 E CESAR E CHAVEZ AVE SUITE 560
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City | LOS ANGELES
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State | CA
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Zip | 90033-2464
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Country | US
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Telephone | 323-226-0022
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Fax | 323-488-9546
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Provider Business Mailing Address
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Address Line | 1701 E CESAR E CHAVEZ AVE SUITE 560
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City | LOS ANGELES
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State | CA
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Zip | 90033-2464
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Country | US
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Telephone | 323-226-0022
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Fax | 323-488-9546
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A83156
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License Number State | CA
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