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General NPI Number Information
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NPI Number | 1487422333
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Entity Type | Organization
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Legal Business Name | FARJOODI HEYRANI & ZAINABADI A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 260 NEWPORT CENTER DR STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7522
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Country | US
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Telephone | 949-287-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 260 NEWPORT CENTER DR STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7522
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Country | US
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Telephone | 949-287-3233
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | NASSER HEYRANI
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Credential | MD
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Telephone | 949-287-3233
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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 |
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License Number State |
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