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General NPI Number Information
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NPI Number | 1467821041
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Entity Type | Organization
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Legal Business Name | KAVEH SAREMI MD INC
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 8730 GLENOAKS BLVD
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City | SUN VALLEY
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State | CA
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Zip | 91352-2801
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Country | US
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Telephone | 818-394-9016
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Fax | 818-394-9016
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Provider Business Mailing Address
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Address Line | 8730 GLENOAKS BLVD
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City | SUN VALLEY
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State | CA
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Zip | 91352-2801
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Country | US
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Telephone | 818-394-9016
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Fax | 818-394-9016
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Authorized Official
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Title or Position | OWNER
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Name | KAVEH SAREMI
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Credential | MD
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Telephone | 818-394-9016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 102603
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License Number State | CA
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