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General NPI Number Information
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NPI Number | 1467828111
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Entity Type | Organization
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Legal Business Name | PAYAM MAROUNI MD INC
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 8338 ROSEMEAD BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-5111
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Country | US
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Telephone | 562-942-1200
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Fax | 562-942-8004
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Provider Business Mailing Address
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Address Line | 8338 ROSEMEAD BLVD
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City | PICO RIVERA
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State | CA
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Zip | 90660-5111
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Country | US
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Telephone | 562-942-1200
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Fax | 562-942-8004
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Authorized Official
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Title or Position | MD
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Name | PAYAM MAROUNI
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Credential | MD
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Telephone | 562-942-1200
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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 | A101224
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License Number State | CA
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