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General NPI Number Information
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NPI Number | 1518443902
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Entity Type | Individual
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Provider Name | SAEIDEH JAFARI H.I.S
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 18672 FLORIDA ST STE 202A
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-7601
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Country | US
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Telephone | 714-375-7776
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Fax | 714-375-5544
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Provider Business Mailing Address
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Address Line | 18672 FLORIDA ST STE 301B
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1925
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Country | US
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Telephone | 714-375-7776
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Fax | 714-375-5544
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HT9791
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License Number State | CA
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