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General NPI Number Information
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NPI Number | 1467611558
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Entity Type | Organization
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Legal Business Name | PAUL P NAZEMI MD INC
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 199 WEST HILLCREST DR
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4208
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Country | US
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Telephone | 805-498-7976
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Fax | 805-497-7489
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Provider Business Mailing Address
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Address Line | PO BOX 56269
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City | SHERMAN OAKS
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State | CA
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Zip | 91413-1269
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Country | US
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Telephone | 805-498-7976
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Fax | 805-497-7489
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEZHMAN P. NAZEMI
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Credential | M.D.
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Telephone | 805-497-7976
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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 |
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License Number State |
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