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General NPI Number Information
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NPI Number | 1467799742
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Entity Type | Organization
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Legal Business Name | PAIN AND HEALING INSTITUTE
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 1964 WESTWOOD BLVD STE.#435
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City | LOS ANGELES
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State | CA
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Zip | 90025-4695
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Country | US
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Telephone | 310-903-8878
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Fax | 310-817-6402
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Provider Business Mailing Address
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Address Line | 1964 WESTWOOD BLVD SUITE 435
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City | LOS ANGELES
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State | CA
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Zip | 90025-4651
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Country | US
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Telephone | 310-856-9488
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Fax | 310-817-6402
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Authorized Official
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Title or Position | PARTNER
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Name | DR. NADIV SAMIMI
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Credential | M.D.
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Telephone | 310-856-9488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | CA
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