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General NPI Number Information
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NPI Number | 1497540702
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Entity Type | Organization
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Legal Business Name | BEHNOOSH RAHAVARD MD PC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 5400 BALBOA BLVD STE 141
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City | ENCINO
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State | CA
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Zip | 91316-5203
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Country | US
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Telephone | 310-759-1559
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Fax | 310-759-1560
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Provider Business Mailing Address
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Address Line | 5400 BALBOA BLVD STE 141
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City | ENCINO
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State | CA
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Zip | 91316-5203
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Country | US
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Telephone | 310-759-1559
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. BEHNOOSH BEHDAD RAHAVARD
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Credential | MD
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Telephone | 310-871-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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